OrganizationActive
Advance Hannibal Regional Hospital, LLC
NPI 1629595020 · Physical Therapist · Kirksville, MO
Provider details
- NPI number
- 1629595020
- 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
1605 S Baltimore St Ste C
Kirksville, MO 63501-4508
Phone: (573) 406-1371
Approximate (ZIP-level) locationGet directions
Mailing address
160 Progress Rd Ste 111
Hannibal, MO 63401-6630
Registry dates
- Enumerated
- 2017-08-25
- Last updated
- 2024-01-23
- Certified
- 2024-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.