Individual
MACY MARIE KOETTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6264 LEWIS DR STE 100, PARKVILLE, MO 64152-3603
(816) 587-8001
Mailing address
1933 LAWRENCE CT, KANSAS CITY, KS 66103-2218
(913) 660-4356
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2024001149
MO
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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