Individual
KACEY RENAE WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402695 W 2340 DR, BARTLESVILLE, OK 74006-0541
(918) 331-6003
Mailing address
402695 W 2340 DR, BARTLESVILLE, OK 74006-0541
(918) 331-6003
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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