Individual
KELLY LYNN RUBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2 HARBOR BEND CT STE 102, LAKE ST LOUIS, MO 63367-1480
(636) 695-2070
(636) 695-2080
Mailing address
2 HARBOR BEND CT STE 102, LAKE ST LOUIS, MO 63367-1480
(636) 695-2070
(636) 695-2080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
117005
MO
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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