Individual
KAITLYN MARIE SYBESMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1337 W GRAND ST, GALLATIN, MO 64640-8320
(660) 663-2197
Mailing address
504A SHORT AVE, CAMERON, MO 64429-8216
(816) 284-5494
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2019036876
MO
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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