Healthcare Provider Details

I. General information

NPI: 1255259172
Provider Name (Legal Business Name): PAIGE FLOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5053 S PROVIDENCE RD STE 104
COLUMBIA MO
65203-7330
US

IV. Provider business mailing address

775 COUNTY ROAD 104E
HARRISBURG MO
65256-9896
US

V. Phone/Fax

Practice location:
  • Phone: 573-619-7377
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: