KURTIS L LACKLAND

CENTRAL MISSOURI PHYSICAL THERAPY LLC

Dr KURTIS L LACKLAND is a male medical professional, specializing in Physical Therapy. He graduated in 2009.

Contact

CENTRAL MISSOURI PHYSICAL THERAPY LLC

2003 W BROADWAY
SUITE 105
COLUMBIA
MO
652031111

Tel: 5734745111

KURTIS L LACKLAND Information

Npi 1316271679
Pac Id 2961540422
Professional Enrollment Id I20091104000088
Last Name LACKLAND
First Name KURTIS
Middle Name L
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2009
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CENTRAL MISSOURI PHYSICAL THERAPY LLC
Group Practice Pac Id 6901870187
Number Of Group Practice Members 58
Line 1 Street Address 2003 W BROADWAY
Line 2 Street Address SUITE 105
Marker Of Address Line 2 Suppression
City COLUMBIA
State MO
Zip Code 652031111
Phone Number 5734745111
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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