Kathy Raven Myrick-kasprzak CMT

NPI 1740429117 - Mechanotherapist - 172M00000X

NPI Details
NPI 1740429117
Gender Female
Enumeration Date 02/09/2009
Last Updated 02/09/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
400 N MAIN ST STE 200
ROLLA MO, 65401-3000, US
Phone (573) 458-5357
Fax (573) 458-5357
Business Location
400 N MAIN ST STE 200
ROLLA MO, 65401-3000, US
Phone (573) 458-5357
Fax (573) 458-5357
Toxanomy
Taxonomy Code 172M00000X
License State Missouri
License Number 2005026107
Remove 1740429117 NPI Number
 

According to our database, Kathy Raven Myrick-kasprzak CMT NPI is 1740429117, taxonomy code is 172M00000X and license number is 2005026107, license state is located at Missouri. Kathy Raven Myrick-kasprzak CMT physically located at 400 N Main St Ste 200, Rolla MO, 65401-3000. NPI Number Kathy Raven Myrick-kasprzak CMT has the Individual type.

Sponsored links

1740429117 NPI number is provided on an as is basis without warranty of any kind. 1740429117 is maintained by the National Plan & Provider Enumeration System. The contents of Kathy Raven Myrick-kasprzak CMT are for informational purposes only.