Individual
KATHRYN KOETTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10000 W 75TH ST STE 250, MERRIAM, KS 66204-2218
(913) 894-1910
Mailing address
31186 W 166TH ST, GARDNER, KS 66030-7841
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01298
KS
225200000X
Physical Therapy Assistant
2015026054
MO
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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