Healthcare Provider Details

I. General information

NPI: 1992365464
Provider Name (Legal Business Name): ALEX HOBBS DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2019
Last Update Date: 06/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 VETERANS WAY
MEXICO MO
65265-3379
US

IV. Provider business mailing address

1034 W BOULEVARD ST
MEXICO MO
65265-2119
US

V. Phone/Fax

Practice location:
  • Phone: 573-581-1088
  • Fax:
Mailing address:
  • Phone: 573-473-6329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: