Individual
MRS. KRYSTEN MICHELLE BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3980 SOUTH JACKSON DRIVE, INDEPENDENCE, MO 64057
(816) 795-1433
(816) 795-1766
Mailing address
104 SW NELSON DR, GRAIN VALLEY, MO 64029
(816) 809-1128
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
228022459
MO
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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