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NPI Code Detail

MEDICARE: CRITCHFIELD PHYSICAL THERAPY PC

MEDICARE: CRITCHFIELD PHYSICAL THERAPY PC
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
1261QP2000XPhysical Therapy Clinic/Center104230MO

General Provider Information

NPI Number : 1134317951
Entity Type Code : Organization
Provider Name (Legal Business Name) : CRITCHFIELD PHYSICAL THERAPY PC
Provider Business Mailing Address
First Line : 520 N STURGEON ST
Second Line :
City : MONTGOMERY CITY
State : MO
Zip : 63361-1829
Country : US
Telephone Number : 573-564-5222
Fax Number :
Provider Business Practice Location Address
First Line : 520 N STURGEON ST
Second Line :
City : MONTGOMERY CITY
State : MO
Zip : 63361-1829
Country : US
Telephone Number : 573-564-5222
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. BYRON TODD CRITCHFIELD
Credential : PT
Telephone Number : 573-564-5222
Provider Enumeration Date : 10/05/2007
Last Update Date : 08/31/2010

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Directions to “CRITCHFIELD PHYSICAL THERAPY PC ” Practice Location

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