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NPI Code Detail

MEDICARE: CARA NEWTON PTA

MEDICARE: CARA NEWTON PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant2005040400MO

General Provider Information

NPI Number : 1104240720
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARA NEWTON PTA
Provider Business Mailing Address
First Line : 204 N BELLE AVE
Second Line :
City : BELLE
State : MO
Zip : 65013-3480
Country : US
Telephone Number : 573-859-3058
Fax Number :
Provider Business Practice Location Address
First Line : 620 N JEFFERSON ST
Second Line :
City : SAINT JAMES
State : MO
Zip : 65559-1926
Country : US
Telephone Number : 573-265-3271
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2014
Last Update Date : 02/18/2014

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Directions to “ CARA NEWTON PTA” Practice Location

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