Individual
KATIE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1910 NURSING HOME RD, OWENSVILLE, MO 65066-2844
(573) 437-4101
Mailing address
PO BOX 135, OWENSVILLE, MO 65066-0135
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2008033252
MO
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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