The stream headwaters arise in the northwest corner of Iron County just north of Viburnum (at ) and the stream flows northwest to its confluence with Huzzah Creek in Crawford County (at ).Viburnum West, Missouri and Davisville, Missouri, 7.5 Minute Topographic Quadrangles, USGS, 1967 and 1978 Possum Trot Creek enters the Huzzah just upstream from Mill Rock Creek.
