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NPI Code Detail

MEDICARE: TYPALDOS PHYSICAL THERAPY AND REHABILITATION CENTER INC

MEDICARE: TYPALDOS PHYSICAL THERAPY AND REHABILITATION CENTER INC
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/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336139989
Entity Type Code : Organization
Provider Name (Legal Business Name) : TYPALDOS PHYSICAL THERAPY AND REHABILITATION CENTER INC
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 : PRESIDENT ADMINISTRATOR
Name : JOHN M TYPALDOS
Credential : PT
Telephone Number : 417-725-5774
Provider Enumeration Date : 10/25/2005
Last Update Date : 11/13/2013

Similar Medicare Providers

1609866110 — MR. JOHN M TYPALDOS RPT
Practice Location Address:
1887 N STATE HIGHWAY CC
NIXA, MO
65714-8015
Practice Phone: 417-725-5774
Practice Fax: 417-725-5915
1538228747 — ELENA CHONG RIETH O.T.
Practice Location Address:
1887 N STATE HIGHWAY CC
NIXA, MO
65714-8015
Practice Phone: 417-725-5774
Practice Fax: 417-725-5915
1639207848 — LISA DAWN MURPHY O.T.R.
Practice Location Address:
1887 N STATE HIGHWAY CC
NIXA, MO
65714-8015
Practice Phone: 417-725-5774
Practice Fax: 417-725-5915
1285762914 — JOHN M. TYPALDOS, P.T.
Practice Location Address:
1887 N STATE HIGHWAY CC
NIXA, MO
65714-8015
Practice Phone: 417-725-5774
Practice Fax: 417-725-5915
1023132057 — MANDY JOLENE SCHLESSELMANN PT, ATC
Practice Location Address:
1887 N HWY CC
NIXA, MO
65714-8015
Practice Phone: 417-725-5774
Practice Fax:
1386764462 — BRAD RICHARD WEISS P.T.
Practice Location Address:
1887 N STATE HIGHWAY CC
NIXA, MO
65714-8015
Practice Phone: 417-725-5774
Practice Fax: 417-725-5915

Directions to “TYPALDOS PHYSICAL THERAPY AND REHABILITATION CENTER INC ” Practice Location

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