IndividualActive
Rob Light, MPT
NPI 1548694292 · Geriatric Physical Therapist · Rolla, MO
Provider details
- NPI number
- 1548694292
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MPT
- Sex
- Male
- Sole proprietor
- No
- License
- 116304 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1712 Line Ave
Rolla, MO 65401-9620
Phone: (573) 578-6121
Approximate (ZIP-level) locationGet directions
Mailing address
1712 Line Ave
Rolla, MO 65401-9620
Registry dates
- Enumerated
- 2013-08-29
- Last updated
- 2013-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.