Individual
MRS. KATHLEEN SOO HARGET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2620 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3396
(573) 776-2000
Mailing address
10 OLD HICKORY LN, POPLAR BLUFF, MO 63901-9675
(573) 776-2000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2011021970
MO
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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