Most Relevant Information
Provider Data
| NPI Number: | 1003474230 |
| Provider Name: | CLAY ANDREW MULLIGAN DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 2251X0800X |
| Specialty: | Physical Therapist |
| License Number: | 11-06118 |
Most Important Dates
| Enumeration Date: | 06/03/2019 |
| Last Updated: | 06/03/2019 |
Provider Practice Location
201 ALBERT AVE
SCOTT CITY
KS
678716117
Practice Location Phone/Fax
| Phone: | 6208725811 |
| Fax: | 6208727193 |
Provider Mailing Location
201 ALBERT AVE
SCOTT CITY
KS
678716117
Provider Mailing Phone/Fax
| Phone: | 6208725811 |
| Fax: | 6208727193 |