Individual
KARYN LESLIE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
29612 KELLOGG AVE, MACON, MO 63552-3702
(660) 385-5797
(660) 385-1301
Mailing address
508 E PIERCE ST, KIRKSVILLE, MO 63501-3643
(660) 385-1307
(660) 385-1307
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
116816
MO
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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