Healthcare Provider Details

I. General information

NPI: 1033041546
Provider Name (Legal Business Name): DON ANDREW DODD DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W US HIGHWAY 60
MOUNTAIN VIEW MO
65548-8542
US

IV. Provider business mailing address

1248 FOX CIR
MOUNTAIN VIEW MO
65548-7391
US

V. Phone/Fax

Practice location:
  • Phone: 417-934-7050
  • Fax:
Mailing address:
  • Phone: 870-595-4316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2025036779
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: