NPI 1164739371

James Cary Dack

Practitioner Physical Therapy Assistant Fort Leonard Wood, MO

Practice location

Address: 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952
Phone: (573) 596-1707

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X

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Registry record

NPI: 1164739371
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Sep 2010
Record last updated: 9 Sep 2010

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.