Individual
KAYLEE TAGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
366 COUNTRY MEADOW LN, FULTON, MO 65251-5278
(573) 642-7216
Mailing address
366 COUNTRY MEADOW LN, FULTON, MO 65251-5278
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2023018150
MO
Other
Enumeration date
07/21/2021
Last updated
08/15/2023
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