Individual
MRS. KELLY PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
15945 CLAYTON RD STE 210, BALLWIN, MO 63011-2491
(636) 893-1361
Mailing address
15945 CLAYTON RD STE 210, BALLWIN, MO 63011-2491
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
03/19/2015
Last updated
02/04/2020
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