Healthcare Provider Details

I. General information

NPI: 1639015589
Provider Name (Legal Business Name): ALEXIA BALL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3003 S KANSAS EXPY
SPRINGFIELD MO
65807-5969
US

IV. Provider business mailing address

5445 S PARKHILL AVE
SPRINGFIELD MO
65810-2502
US

V. Phone/Fax

Practice location:
  • Phone: 417-883-5522
  • Fax:
Mailing address:
  • Phone: 417-597-2726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number2012025874
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License NumberC74180
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: