Individual
MRS. KAYLEE QUATTLEBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
327 S RIDGE AVE, LIBERTY, MO 64068-2151
(816) 589-7153
Mailing address
935 WASHINGTON ST, WESTON, MO 64098-1044
(816) 589-7153
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2018027216
MO
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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