Organization · Type 2 NPI

Capital Region Medical Center

Cardiopulmonary Physical Therapist · Jefferson City, MO

NPI number 1215057542 Active

Practice location

1015 Moreau Dr
Jefferson City, MO 65101-3518

Mailing address

1125 Madison St
Jefferson City, MO 65101-5227

Specialties and licenses

TaxonomyCodeLicense
Cardiopulmonary Physical Therapist Primary 2251C2600X2005010777 (MO)

Cardiopulmonary Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Cardiovascular & Pulmonary Physical Therapy, who has demonstrated specialized knowledge and skill in cardiovascular and pulmonary anatomy and physiology medicine, rehabilitation, critical care, and emergency and trauma.

About NPI 1215057542

Capital Region Medical Center's National Provider Identifier is 1215057542, issued on Mar 30, 2007. The primary taxonomy on file is Cardiopulmonary Physical Therapist (2251C2600X), and the practice location is in Jefferson City, MO. The record was last updated on Aug 22, 2020.