Individual
CAROL ANN PHIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7730 CARONDELET AVE STE 400, CLAYTON, MO 63105-3329
(314) 451-3942
Mailing address
5129 ROBERTS ST, SHAWNEE, KS 66226-3819
(803) 417-3157
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-04035
KS
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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