Provider Demographics
NPI:1366023913
Name:SMALL TOWN PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:SMALL TOWN PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:J
Authorized Official - Last Name:KLAPMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:417-252-3198
Mailing Address - Street 1:110 BEAR DR STE 2
Mailing Address - Street 2:
Mailing Address - City:WILLOW SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:65793-7103
Mailing Address - Country:US
Mailing Address - Phone:417-252-3198
Mailing Address - Fax:855-795-1906
Practice Address - Street 1:110 BEAR DR STE 2
Practice Address - Street 2:
Practice Address - City:WILLOW SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:65793-7103
Practice Address - Country:US
Practice Address - Phone:417-252-3198
Practice Address - Fax:855-795-1906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-15
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy