Healthcare Provider Details

I. General information

NPI: 1972415024
Provider Name (Legal Business Name): CHAD HOBBS CAREY JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: C.J. HOBBS CAREY JR.

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 INDEPENDENCE DR
WEST PLAINS MO
65775-4221
US

IV. Provider business mailing address

1673 STATE ROUTE K
POTTERSVILLE MO
65790-9623
US

V. Phone/Fax

Practice location:
  • Phone: 417-256-8888
  • Fax: 417-255-0060
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number2026045639
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: