Provider Demographics
NPI:1043417942
Name:ADAMS, DANNY LEE JR (PTA)
Entity Type:Individual
Prefix:MR
First Name:DANNY
Middle Name:LEE
Last Name:ADAMS
Suffix:JR
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4977 STATE ROUTE 17
Mailing Address - Street 2:
Mailing Address - City:WEST PLAINS
Mailing Address - State:MO
Mailing Address - Zip Code:65775-4998
Mailing Address - Country:US
Mailing Address - Phone:417-277-5438
Mailing Address - Fax:866-364-3897
Practice Address - Street 1:211 DAVIS DR
Practice Address - Street 2:
Practice Address - City:WEST PLAINS
Practice Address - State:MO
Practice Address - Zip Code:65775-2242
Practice Address - Country:US
Practice Address - Phone:417-256-0798
Practice Address - Fax:417-256-3996
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO116000225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant