SearchMissouri225200000X

Tonya Wilson, PTA

NPI 1790154581 · on the registry since 2015 · sole proprietor

Practice

Address
15822 Clayton Rd
Ellisville, MO 63011
Phone
(636) 220-1681
Organisation at this address
Legacy Healthcare Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
225200000X
225200000X
Also registered as
310400000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-09-22

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