Individual
KELLY HINDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1214 FREEDOM BLVD, JEFFERSON CITY, MO 65109-0082
(573) 634-5408
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3422
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2006001795
MO
Other
Enumeration date
05/02/2007
Last updated
08/12/2022
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