Individual
KIMBERLY JILL PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3727 GENE FIELD RD, SAINT JOSEPH, MO 64506-1806
(816) 396-8635
(816) 364-3522
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2015027221
MO
225200000X
Physical Therapy Assistant
—
KS
Other
Enumeration date
11/02/2010
Last updated
08/04/2015
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