Individual
KRISTIN MARIE MATUSHEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13314 MANCHESTER RD, DES PERES, MO 63131-1709
(314) 775-0183
(314) 775-0190
Mailing address
13314 MANCHESTER RD, DES PERES, MO 63131-1709
(314) 775-0183
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2019039392
MO
Other
Enumeration date
12/22/2019
Last updated
12/22/2019
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