Individual
KATHERINE WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 N KENTUCKY AVE, WEST PLAINS, MO 65775-2028
(417) 257-5959
Mailing address
PO BOX 1100, WEST PLAINS, MO 65775-1100
(417) 257-5959
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2012038302
MO
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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