Individual
JILL KINNISON EVEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6555 CHIPPEWA ST, SUITE 125, SAINT LOUIS, MO 63109-4110
(314) 781-0011
(314) 781-0410
Mailing address
6555 CHIPPEWA ST, SUITE 125, SAINT LOUIS, MO 63109-4110
(314) 781-0011
(314) 781-0410
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2011023169
MO
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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