Individual
KATRINA FEASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 TERRI ST, KEYSER, WV 26726-2027
(304) 813-6164
Mailing address
1450 TERRI ST, KEYSER, WV 26726-2027
(304) 813-6164
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002172
WV
Other
Enumeration date
11/27/2015
Last updated
11/27/2015
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