Provider Demographics
NPI:1306191093
Name:HORD, CHELSEA NICOLE (DPT)
Entity Type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:NICOLE
Last Name:HORD
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:CHELSEA
Other - Middle Name:NICOLE
Other - Last Name:STEWART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:4208 ROME AVE
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65721-5768
Mailing Address - Country:US
Mailing Address - Phone:417-827-5484
Mailing Address - Fax:
Practice Address - Street 1:4208 ROME AVE
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:MO
Practice Address - Zip Code:65721-5768
Practice Address - Country:US
Practice Address - Phone:417-834-5990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-18
Last Update Date:2022-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012023661225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist