Healthcare Provider Details

I. General information

NPI: 1821057142
Provider Name (Legal Business Name): FARMINGTON HAND AND PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1280 DOCTORS DR
FARMINGTON MO
63640-2932
US

IV. Provider business mailing address

1280 DOCTORS DR
FARMINGTON MO
63640-2932
US

V. Phone/Fax

Practice location:
  • Phone: 573-756-2320
  • Fax: 573-760-8677
Mailing address:
  • Phone: 573-756-2320
  • Fax: 573-760-8677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHRISTINE MARIE GEILE
Title or Position: OWNER
Credential:
Phone: 573-756-2320