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Macy Sophanavong, DPT
NPI 1174357453 · on the registry since 2024
Practice
- Address
- 3639 N Saint Peters Pkwy
Saint Peters, MO 63376 - Phone
- (309) 256-2899
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri