Individual
MRS. MAELAINA ROSE HIBNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2601 FAIR ST, CHILLICOTHE, MO 64601-3525
(660) 646-1230
Mailing address
1608 BURNAM RD, CHILLICOTHE, MO 64601-1521
(816) 745-8488
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2021043988
MO
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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