Individual
KAYLIE MADISON MEALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 N HOVIS ST, MOUNTAIN GROVE, MO 65711-1219
(417) 926-5128
Mailing address
1310 N HOVIS ST, MOUNTAIN GROVE, MO 65711-1219
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2023031167
MO
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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