Individual
MRS. KELLY THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5200 EXECUTIVE CENTRE PKWY STE 200, SAINT PETERS, MO 63376-3394
(636) 255-8750
Mailing address
647 SPIRIT AIRPARK WEST DR STE 101, CHESTERFIELD, MO 63005-1032
(636) 206-4225
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2023036863
MO
2251X0800X
Orthopedic Physical Therapist
11022
CO
Other
Enumeration date
01/31/2011
Last updated
09/12/2023
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