Individual
KESIA DANNER-BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2898 S ELDON AVE, SPRINGFIELD, MO 65807-5532
(417) 496-7638
Mailing address
2898 S ELDON AVE, SPRINGFIELD, MO 65807-5532
(417) 496-7638
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2003016259
MO
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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