NPI 1093927618

William Ellerd Dierks, PHYSICALTHERAPIST

Practitioner Physical Therapist Joplin, MO

Practice location

Address: 3105 Mc Clelland Blvd Suite 101, Joplin, MO 64804-1640
Phone: (417) 623-5560
Fax: (417) 634-5740

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 00733 (MO)

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Registry record

NPI: 1093927618
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 May 2007
Record last updated: 8 Jul 2007

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.