Individual
MS. KYLIE N STOVERINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1405 N MT AUBURN RD, CAPE GIRARDEAU, MO 63701-9998
(573) 335-7868
(573) 335-8193
Mailing address
1405 N MT AUBURN RD, CAPE GIRARDEAU, MO 63701-9998
(573) 335-7868
(573) 335-8193
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2016002060
MO
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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