Individual
KATLYN JO DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
501 S MADISON ST, STE L, WEBB CITY, MO 64870-2502
(417) 673-2156
(417) 673-2176
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-05675
KS
225100000X
Physical Therapist
Primary
2017022200
MO
225100000X
Physical Therapist
PT4604
AR
Other
Enumeration date
05/11/2017
Last updated
02/27/2019
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