OrganizationActive
Advance Hannibal Regional Hospital, LLC
NPI 1124364138 · Physical Therapist · Hannibal, MO
Provider details
- NPI number
- 1124364138
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Gregory Reis, Partner(217) 222-6800
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
188 Medical Drive
Hannibal, MO 63401
Phone: (573) 400-6057
Approximate (ZIP-level) locationGet directions
Mailing address
160 Progress Rd Ste 111
Hannibal, MO 63401-6630
Registry dates
- Enumerated
- 2012-12-19
- Last updated
- 2025-07-31
- Certified
- 2025-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.