| Theracare | |
|
3023 S Fort Ave Ste B Springfield MO 65807-4217 | |
| (417) 693-2327 | |
| (888) 655-3231 |
| Full Name | Theracare |
|---|---|
| Speciality | Clinic/center - Hearing And Speech |
| Location | 3023 S Fort Ave Ste B, Springfield, Missouri |
| Authorized Official Name and Position | Michael H Powers (PRESIDENT/CEO) |
| Authorized Official Contact | 4178647887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theracare 3023 S Fort Ave Ste B Springfield MO 65807-4217 Ph: (417) 890-4656 | Theracare 3023 S Fort Ave Ste B Springfield MO 65807-4217 Ph: (417) 693-2327 |
| NPI Number | 1962822353 |
|---|---|
| Provider Enumeration Date | 04/23/2014 |
| Last Update Date | 08/10/2022 |
| Certification Date | 08/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962822353 | NPI | - | NPPES |
| 1962822353 | Medicaid | MO |
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