Individual
KATHLEEN HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
605 N COMMERCIAL AVE, SAINT CLAIR, MO 63077-1103
(636) 629-2414
Mailing address
1313 AUBURN HILLS DR, SAINT CHARLES, MO 63304-2449
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
100401
MO
Other
Enumeration date
02/13/2014
Last updated
03/18/2022
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