Individual
VICKIE KLEMPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3218 SOUTHWOOD TER, JEFFERSON CITY, MO 65101-5913
(573) 659-0504
Mailing address
3218 SOUTHWOOD TER, JEFFERSON CITY, MO 65101-5913
(573) 659-0504
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2011001337
MO
225200000X
Physical Therapy Assistant
116728
MO
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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