Provider Demographics
NPI:1962663575
Name:DRUMMOND, JOSHUA B (DPT, ATC)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:B
Last Name:DRUMMOND
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Gender:M
Credentials:DPT, ATC
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Mailing Address - Street 1:PO BOX 1100
Mailing Address - Street 2:OMC REHABILITATION
Mailing Address - City:WEST PLAINS
Mailing Address - State:MO
Mailing Address - Zip Code:65775-6021
Mailing Address - Country:US
Mailing Address - Phone:417-257-5959
Mailing Address - Fax:417-257-5814
Practice Address - Street 1:1111 KENTUCKY AVE
Practice Address - Street 2:SHAW MEDICAL BUILDING
Practice Address - City:WEST PLAINS
Practice Address - State:MO
Practice Address - Zip Code:65775-2010
Practice Address - Country:US
Practice Address - Phone:417-257-5959
Practice Address - Fax:417-257-5814
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2014-10-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2008023421225100000X
MO20050285492255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer