MEDICARE: JUSTIN FRANKE

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
1	225100000X	Physical Therapist	2008020156	MO

General Provider Information

NPI Number	:	1134389950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTIN FRANKE

Provider Business Mailing Address
First Line	:	2387 W JACKSON BLVD
Second Line	:
City	:	JACKSON
State	:	MO
Zip	:	63755-3024
Country	:	US
Telephone Number	:	573-243-0210
Fax Number	:

Provider Business Practice Location Address
First Line	:	2387 W JACKSON BLVD
Second Line	:
City	:	JACKSON
State	:	MO
Zip	:	63755-3024
Country	:	US
Telephone Number	:	573-243-0210
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2008
Last Update Date	:	04/30/2010

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Directions to “ JUSTIN FRANKE ” Practice Location

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