Provider Demographics
NPI:1821205618
Name:TROSPER, JOSHUA KYLE (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:KYLE
Last Name:TROSPER
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:907 OREGON DR
Mailing Address - Street 2:
Mailing Address - City:CARTERVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64835-1047
Mailing Address - Country:US
Mailing Address - Phone:417-499-3299
Mailing Address - Fax:
Practice Address - Street 1:2727 MC CLELLAND BLVD
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-1626
Practice Address - Country:US
Practice Address - Phone:417-625-2191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20060323582251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology