Individual
KRISTINA KOETTKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14332 NIEMAN RD, OVERLAND PARK, KS 66221-8144
(913) 213-9876
Mailing address
14332 NIEMAN RD, OVERLAND PARK, KS 66221-8144
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-02799
KS
225100000X
Physical Therapist
Primary
112130
MO
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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