Individual
MRS. KACI LEE MONROE
Active
Individual
MRS. KACI LEE MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2406
MT
261QP2000X
Physical Therapy Clinic/Center
—
MT
Other
Enumeration date
05/19/2011
Last updated
05/26/2016
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