Healthcare Provider Details

I. General information

NPI: 1215855143
Provider Name (Legal Business Name): ROCK SOLID PT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

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: 573-619-7377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PAIGE FLOOD
Title or Position: OWNER
Credential:
Phone: 573-619-7377