IndividualActive
Aliecia Penrod
NPI 1821771015 · Physical Therapy Assistant · Jackson, MO
Provider details
- NPI number
- 1821771015
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2016037455 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1420 Woodland Dr
Jackson, MO 63755-1510
Phone: (573) 587-4204
Approximate (ZIP-level) locationGet directions
Mailing address
1420 Woodland Dr
Jackson, MO 63755-1510
Registry dates
- Enumerated
- 2023-08-14
- Last updated
- 2023-08-14
- Certified
- 2023-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.