Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Aliecia Diann Penrod

Individual provider Physical Therapy Assistant · NPI 1821771015

Aliecia Diann Penrod is a Physical Therapy Assistant in Jackson, Missouri. Licensed in Missouri. Registered with an NPI since 2023.

Licensed in
MO
In the registry since
2023
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Practice location Address checks out

1420 Woodland Dr
Jackson, MO 63755-1510
Phone: (573) 587-4204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2016037455 (MO)

Record details

NPI number1821771015
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 14, 2023
Last updated in NPPESAugust 14, 2023
Certification dateAugust 13, 2023

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