Missouri Code of State Regulations
Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE
Division 2150 - State Board of Registration for the Healing Arts
Chapter 3 - Licensing of Physical Therapists and Physical Therapist Assistants
Section 20 CSR 2150-3.066 - Physical Therapist- Retirement, Name and Address Changes

(1) Licensees must submit written notification of any address change to the board within fifteen (15) days of such occurrence.

(2) A licensee whose name has changed since licensure was issued must submit a copy of the legal document verifying the name change to the board within fifteen (15) days of such occurrence.

(3) Licensees who retire from practice as a physical therapist shall file an affidavit, on a form furnished by the board, stating the date of retirement. Licensees shall submit documentation verifying retirement as requested by the board. Licensees who reengage in the practice of physical therapy after submitting an affidavit of retirement shall reapply for licensure as required in sections 334.600 and 334.610, RSMo, and pursuant to the provisions of 20 CSR 2150-3.063.