Individual
KYLA TREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3023 S FORT AVE, SUITE B, SPRINGFIELD, MO 65807-4272
(417) 890-4656
(417) 708-0889
Mailing address
3023 S FORT AVE, SUITE B, SPRINGFIELD, MO 65807-4272
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2016044234
MO
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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