Individual
CODY KITE-WARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
20 VILLAGE CIRCLY, KEOKUK, IA 52632
(319) 524-5772
Mailing address
20 VILLAGE CIR, KEOKUK, IA 52632-2040
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00681
IA
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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