Search › Missouri › 225200000X
Blaine Davis, PTA
NPI 1881340081 · on the registry since 2022 · sole proprietor
Practice
- Address
- 216 Hillvale St
Cape Girardeau, MO 63701 - Phone
- (619) 655-0289
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-02-25
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