Individual
KYLIE SUZANNE REISENBICHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20794 US HIGHWAY 61, SIKESTON, MO 63801-7260
(573) 471-2686
Mailing address
714 COUNTY ROAD 319, JACKSON, MO 63755-8078
(573) 837-9177
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2024007514
MO
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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