Individual
KATIE JEAN KIRN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
206 HOSPITAL LN STE 100, PERRYVILLE, MO 63775-1382
(573) 768-3349
(573) 517-0341
Mailing address
206 HOSPITAL LN STE 100, PERRYVILLE, MO 63775-1382
(573) 768-3349
(573) 517-0341
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2000172506
MO
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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