Provider Demographics
NPI:1538982046
Name:BARTON COUNTY PHYSICAL THERAPY & WELLNESS LLC
Entity type:Organization
Organization Name:BARTON COUNTY PHYSICAL THERAPY & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:417-214-4711
Mailing Address - Street 1:361 SW 50TH RD
Mailing Address - Street 2:
Mailing Address - City:LAMAR
Mailing Address - State:MO
Mailing Address - Zip Code:64759-8416
Mailing Address - Country:US
Mailing Address - Phone:417-214-4711
Mailing Address - Fax:
Practice Address - Street 1:128 W 10TH ST
Practice Address - Street 2:
Practice Address - City:LAMAR
Practice Address - State:MO
Practice Address - Zip Code:64759-1449
Practice Address - Country:US
Practice Address - Phone:417-214-4711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-04
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty