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NPI Code Detail

MEDICARE: JOHN M. TYPALDOS, P.T.

MEDICARE: JOHN M. TYPALDOS, P.T.
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1285762914
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN M. TYPALDOS, P.T.
Provider Business Mailing Address
First Line : 1887 N STATE HIGHWAY CC
Second Line :
City : NIXA
State : MO
Zip : 65714-8015
Country : US
Telephone Number : 417-725-5774
Fax Number : 417-725-5915
Provider Business Practice Location Address
First Line : 1887 N STATE HIGHWAY CC
Second Line :
City : NIXA
State : MO
Zip : 65714-8015
Country : US
Telephone Number : 417-725-5774
Fax Number : 417-725-5915
Authorized Official
Title or Position : OWNER
Name : JOHN M TYPALDOS
Credential : P.T.
Telephone Number : 417-725-5774
Provider Enumeration Date : 03/02/2007
Last Update Date : 08/23/2011

Similar Medicare Providers

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Practice Location Address:
1887 N STATE HIGHWAY CC
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65714-8015
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Practice Fax: 417-725-5915
1609866110 — MR. JOHN M TYPALDOS RPT
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1887 N STATE HIGHWAY CC
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1639207848 — LISA DAWN MURPHY O.T.R.
Practice Location Address:
1887 N STATE HIGHWAY CC
NIXA, MO
65714-8015
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Practice Fax: 417-725-5915
1023132057 — MANDY JOLENE SCHLESSELMANN PT, ATC
Practice Location Address:
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1386764462 — BRAD RICHARD WEISS P.T.
Practice Location Address:
1887 N STATE HIGHWAY CC
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65714-8015
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Practice Fax: 417-725-5915

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