Individual
KATHY ELAINE MAXEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC
Contact information
Practice address
1100 CLUB VILLAGE DR, SUITE 103, COLUMBIA, MO 65203-4409
(573) 256-2777
(573) 256-2764
Mailing address
2308 KYLE DR, COLUMBIA, MO 65203-5705
(573) 445-0595
(573) 256-2764
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
01865
MO
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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