Individual
KASEY METZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 HAMPTON VILLAGE PLZ, SAINT LOUIS, MO 63109-2127
(314) 353-2626
Mailing address
847 IVY TRCE, BALLWIN, MO 63021-8422
(636) 861-5948
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000157234
LICENSE #
MO
Enumeration date
08/29/2006
Last updated
07/08/2007
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