| Radiant Therapy | |
|
1911 S National Ave Ste 401 Springfield MO 65804-2213 | |
| (417) 719-0973 | |
| Not Available |
| Full Name | Radiant Therapy |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1911 S National Ave Ste 401, Springfield, Missouri |
| Authorized Official Name and Position | Ra Young Suh (THERAPIST) |
| Authorized Official Contact | 4177190973 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Therapy 4195 E Summer Set St Springfield MO 65802-9776 Ph: (417) 719-0973 | Radiant Therapy 1911 S National Ave Ste 401 Springfield MO 65804-2213 Ph: (417) 719-0973 |
| NPI Number | 1033968268 |
|---|---|
| Provider Enumeration Date | 05/20/2024 |
| Last Update Date | 10/27/2024 |
| Certification Date | 10/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033968268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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