Individual
KARA HEISTERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3222 W 16TH ST, SEDALIA, MO 65301-2105
(660) 827-6800
Mailing address
23132 HIGHWAY 52, COLE CAMP, MO 65325-2077
(660) 646-8912
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2010030767
MO
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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