Individual
KRISTIN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 SPENCER RD, SAINT PETERS, MO 63376-2425
(636) 441-2750
Mailing address
320 NARROWLEAF LN, O FALLON, MO 63366-1597
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2012025728
MO
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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