Individual
KAITLYN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
701 W ELM ST, WINFIELD, MO 63389-1102
(636) 668-8195
Mailing address
234 WATERFORD CROSSING DR, O FALLON, MO 63368-7119
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2017024063
MO
2251P0200X
Pediatric Physical Therapist
—
—
Other
Enumeration date
07/18/2017
Last updated
06/05/2023
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