Healthcare Provider Details

I. General information

NPI: 1124950241
Provider Name (Legal Business Name): RISE & SHINE THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1304 SOUTHWEST BLVD STE B
JEFFERSON CITY MO
65109-3402
US

IV. Provider business mailing address

309 JOE LN
JEFFERSON CITY MO
65101-5533
US

V. Phone/Fax

Practice location:
  • Phone: 573-263-5828
  • Fax:
Mailing address:
  • Phone: 573-263-5828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: ALEXA TRUSK
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: MA CCC-SLP
Phone: 573-263-5828