Individual
MISS KALIE ROSE MASSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 348-8000
Mailing address
363 GAGEVILLE RD, ELDON, MO 65026-5120
(573) 392-8452
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2020036113
MO
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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