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

Cameron Parker, PTA

Individual provider Physical Therapy Assistant · NPI 1114686680

Cameron Parker, PTA is a Physical Therapy Assistant in Desloge, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

801 Brim St
Desloge, MO 63601-3441
Phone: (573) 431-0223
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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 2019027378 (MO)

Record details

NPI number1114686680
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedDecember 13, 2021
Last updated in NPPESDecember 13, 2021
Certification dateDecember 13, 2021
Mailing address801 Brim St, Desloge, MO 63601-3441

Other providers in Desloge