| Princeton Physical Therapy And Sports Medicine Llc | |
|
807 E Hickland St, Princeton, MO 64673-1227 | |
| (660) 748-3600 | |
| (660) 748-3605 |
| Full Name | Princeton Physical Therapy And Sports Medicine Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 807 E Hickland St, Princeton, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871662767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 117457 (Missouri) | Primary |
| Provider Name | Amy L Mcdaniel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699860312 PECOS PAC ID: 6608873633 Enrollment ID: I20061103000254 |
| Provider Name | Daryian Grossman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508597634 PECOS PAC ID: 5496292724 Enrollment ID: I20240805003193 |
| Mailing Address | Practice Location Address |
|---|---|
| Princeton Physical Therapy And Sports Medicine Llc 807 E Hickland St, Princeton, MO 64673-1227 Ph: (660) 748-3600 | Princeton Physical Therapy And Sports Medicine Llc 807 E Hickland St, Princeton, MO 64673-1227 Ph: (660) 748-3600 |
Daryian Michelle Grossman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 400 N Stewart St, Princeton, MO 64673 Phone: 660-748-3600 | |
Amy Lee Mcdaniel, MS PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 807 Hickland St, Princeton, MO 64673 Phone: 660-748-3600 Fax: 660-748-3605 |