Individual
KATHRYN MARIE HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2313 RIVERSIDE DR, MARYVILLE, TN 37804-3857
(636) 667-0576
Mailing address
2313 RIVERSIDE DR, MARYVILLE, TN 37804-3857
(636) 667-0576
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10089
TN
225100000X
Physical Therapist
115063
MO
Other
Enumeration date
10/07/2015
Last updated
01/28/2021
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