Individual
KATHERINE GRACE WILDHABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2303 HIGGINS RD STE A, PLATTE CITY, MO 64079-9232
(816) 858-0252
(816) 585-0253
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-06762
KS
225100000X
Physical Therapist
Primary
2021028503
MO
Other
Enumeration date
04/09/2021
Last updated
10/12/2021
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