Kenneth Wilson, MHO PT SCS ATC

NPI 1396854915 · on the registry since 2006

Practice

Address: 1355 Maple Street
Farmington, MO 63640
Phone: (573) 756-9900
Fax: (573) 756-9988
Organisation at this address: Prorehab, Pc
Athletico Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: Physical Therapist
225100000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-01-22

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