Most Relevant Information
Provider Data
NPI Number: | 1003524331 |
Provider Name: | ALEXIS GLASBY BS, LAT, ATC |
Entity Type: | Individual |
Taxonomy Code: | 2255A2300X |
Specialty: | Specialist/Technologist |
License Number: | 2548 |
Most Important Dates
Enumeration Date: | 11/07/2022 |
Last Updated: | 11/07/2022 |
Provider Practice Location
4900 MERIDIAN ST NW
NORMAL
AL
357627500
Practice Location Phone/Fax
Phone: | 2563728457 |
Fax: |
Provider Mailing Location
1731 PARKER RD
SAINT LOUIS
MO
631381910
Provider Mailing Phone/Fax
Phone: | 3142784474 |
Fax: |