Individual
KYLE WINTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
481 DANA MEADOWS LN, BALLWIN, MO 63021-6493
(314) 626-3161
Mailing address
481 DANA MEADOWS LN, BALLWIN, MO 63021-6493
(314) 626-3161
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2014004340
MO
Other
Enumeration date
02/10/2014
Last updated
06/29/2020
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