NPI 1114686680

Cameron Parker, PTA

Practitioner Physical Therapy Assistant Desloge, MO

Practice location

Address: 801 Brim St, Desloge, MO 63601-3441
Phone: (573) 431-0223

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2019027378 (MO)

Other Physical Therapy Assistant providers in Missouri →

Registry record

NPI: 1114686680
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Dec 2021
Record last updated: 13 Dec 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.