NPI 1003481235

Cory Raisor

Practitioner Physical Therapy Assistant Macon, MO

Practice location

Address: 701 Sunset Hills Dr, Macon, MO 63552-2165
Phone: (660) 385-3113
Mailing address: 703 W Lee St, Dimmitt, TX 79027-3117

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2156885 (TX)

Other Physical Therapy Assistant providers in Missouri →

Registry record

NPI: 1003481235
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 May 2021
Record last updated: 20 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.