Individual
DR. KATHRYN SUE WILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
602 MAPLE VALLEY DR, FARMINGTON, MO 63640-1976
(573) 756-2999
(573) 756-6195
Mailing address
602 MAPLE VALLEY DR, FARMINGTON, MO 63640-1976
(573) 756-2999
(573) 756-6195
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2012000855
MO
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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