Individual
KELLIE STICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
12121 BLUE RIDGE EXT, GRANDVIEW, MO 64030-6401
(816) 761-8088
(816) 761-8923
Mailing address
12121 BLUE RIDGE EXT, GRANDVIEW, MO 64030-6401
(816) 761-8088
(816) 761-8923
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2016022331
MO
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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