Individual
HALEY MARIE KEARBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1 PROFESSIONAL DR, ALTON, IL 62002-5068
(618) 462-4621
Mailing address
1000 DES PERES RD STE 130, SAINT LOUIS, MO 63131-2050
(314) 775-0183
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.008476
IL
Other
Enumeration date
11/30/2018
Last updated
09/11/2023
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