Organization · Type 2 NPI
Capital Region Medical Center
Cardiopulmonary Physical Therapist · Jefferson City, MO
Practice location
1015 Moreau Dr
Jefferson City, MO 65101-3518
Mailing address
1125 Madison St
Jefferson City, MO 65101-5227
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cardiopulmonary Physical Therapist Primary | 2251C2600X | 2005010777 (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.