IndividualActive
Angela Gregory, PTA
NPI 1255580577 · Physical Therapy Assistant · Poplar Bluff, MO
Provider details
- NPI number
- 1255580577
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 1999141517 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2350 Kanell Blvd
Poplar Bluff, MO 63901-4036
Phone: (573) 778-9348
Fax: (573) 778-3463
Approximate (ZIP-level) locationGet directions
Mailing address
2350 Kanell Blvd
Poplar Bluff, MO 63901-4036
Registry dates
- Enumerated
- 2008-09-10
- Last updated
- 2008-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.