Organization · Type 2 NPI

Physical Therapy, LLC

Durable Medical Equipment & Medical Supplies · Republic, MO

NPI number 1609965128 Active

Practice location

213 US Highway 60 W
Republic, MO 65738-1432

Fax (417) 732-6014

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Clinic/Center	261QP2000X	100395 (MO)
Durable Medical Equipment & Medical Supplies Primary	332B00000X	None listed

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

NPI record

NPI: 1609965128
Entity type: Organization (Type 2)
Issued: Oct 12, 2006
Last updated: Feb 3, 2010
Status: Active

Other names

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Republic Medical Supply & Republic Physical Therapy & Rehab · doing business as

Authorized official

Mr. Peterpaul Mayo Chanliongco, P.T.
President
(417) 732-2344

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About NPI 1609965128

Physical Therapy, LLC's National Provider Identifier is 1609965128, issued on Oct 12, 2006. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Republic, MO. The record was last updated on Feb 3, 2010.