Individual
SIERRA RAE WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1201 S SLOAN ST, MAYSVILLE, MO 64469-8339
(660) 425-2649
Mailing address
1201 S SLOAN ST, MAYSVILLE, MO 64469-8339
(660) 425-2649
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2015023429
MO
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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