NPI: 1306989504 · TRENTON, MO 64683 · Physical Therapist · NPI assigned 02/15/2007
| Authorized Official | DAVIS, KRISTIE (DIRECTOR OF SPECIAL SERVICES) |
| NPI Enumeration Date | 02/15/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 155 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| Q3014 | Telehealth originating site facility fee | 155 | 24 | $2K |