OrganizationActive
Capital Region Medical Center
NPI 1215057542 · Cardiopulmonary Physical Therapist · Jefferson City, MO
Provider details
- NPI number
- 1215057542
- Entity type
- Organization
- Primary specialty
- Cardiopulmonary Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Ed Farnsworth, Preseident(573) 632-5000
- License
- 2005010777 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1015 Moreau Dr
Jefferson City, MO 65101-3518
Phone: (573) 634-2570
Approximate (ZIP-level) locationGet directions
Mailing address
1125 Madison St
Jefferson City, MO 65101-5227
Registry dates
- Enumerated
- 2007-03-30
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.