Individual
KAITLIN NICOLE VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
366 COUNTRY MEADOW LN, FULTON, MO 65251-5278
(573) 642-7216
Mailing address
699 COUNTY ROAD 558, BAKERSFIELD, MO 65609-8051
(636) 697-5745
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2025008447
MO
Other
Enumeration date
02/17/2025
Last updated
03/28/2025
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