MEDICARE: MIDWEST THERAPY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225200000X	Physical Therapy Assistant
2	225X00000X	Occupational Therapist
3	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1013142892
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIDWEST THERAPY SERVICES

Provider Business Mailing Address
First Line	:	2725 N WESTWOOD BLVD
Second Line	:	SUITE 17
City	:	POPLAR BLUFF
State	:	MO
Zip	:	63901-2346
Country	:	US
Telephone Number	:	573-686-4209
Fax Number	:	573-686-4406

Provider Business Practice Location Address
First Line	:	2725 N WESTWOOD BLVD STE 17
Second Line	:
City	:	POPLAR BLUFF
State	:	MO
Zip	:	63901-2367
Country	:	US
Telephone Number	:	573-778-9348
Fax Number	:	573-686-4870

Authorized Official
Title or Position	:	OWNER
Name	:	MR. AUSTIN R TINSLEY IV
Credential	:
Telephone Number	:	573-686-4209

Provider Enumeration Date	:	05/21/2009
Last Update Date	:	07/21/2022

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Directions to “MIDWEST THERAPY SERVICES ” Practice Location

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