Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bolivar Physical Therapy Center, LLC

Organization Physical Therapist · NPI 1366454191

Bolivar Physical Therapy Center, LLC is a Physical Therapist in Bolivar, Missouri. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1028 W Broadway St Ste A
Bolivar, MO 65613-1809
Phone: (417) 777-2888
Fax: (417) 777-4597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1366454191
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Vanhoornbeek — Owner / Member · (417) 777-2888
NPI enumeratedAugust 12, 2006
Last updated in NPPESJuly 21, 2022
Mailing address1028 W Broadway St Ste A, Bolivar, MO 65613-1809

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