Individual
KIM MARIE LAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATP, PTA
Contact information
Practice address
401 E FRONT ST STE 224, TYLER, TX 75702-8250
(903) 574-3337
Mailing address
5207 OLD MOORINGSPORT RD, SHREVEPORT, LA 71107-2810
(318) 347-3390
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2060503
TX
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
03/31/2022
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