Individual
KAYLA DAWN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
202 MALLOY CIRCLE, DUENWEG, MO 64841
(417) 625-5275
Mailing address
310 W 8TH ST, JOPLIN, MO 64801-4302
(417) 625-5200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2014025574
MO
2251P0200X
Pediatric Physical Therapist
2014025574
MO
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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