Individual
KRISTI LACLEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
14855 N OUTER 40 RD, CHESTERFIELD, MO 63017-2026
(636) 532-0150
Mailing address
14855 N OUTER 40 RD, CHESTERFIELD, MO 63017-2026
(636) 532-0150
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2006027979
MO
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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