Healthcare Provider Details

I. General information

NPI: 1346144870
Provider Name (Legal Business Name): THERAPY UNLIMITED SOUTHWEST MO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1339 E REPUBLIC RD STE E
SPRINGFIELD MO
65804-7219
US

IV. Provider business mailing address

1906 CORONA RD
COLUMBIA MO
65203-5936
US

V. Phone/Fax

Practice location:
  • Phone: 573-777-8783
  • Fax: 573-777-8784
Mailing address:
  • Phone: 573-777-8783
  • Fax: 573-777-8784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: LAURA POWELL
Title or Position: CO-OWNER
Credential:
Phone: 573-268-5014