Individual
CASSANDRA KEETHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 MCMENAMY RD, SAINT PETERS, MO 63376-1510
(636) 397-3211
Mailing address
216 ROLLING ROCK CREEK DR, WENTZVILLE, MO 63385-5580
(573) 259-7789
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2015038985
MO
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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