Individual
KAITLYNN DUTZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
(317) 447-5847
Mailing address
2214 BAY TREE DR, SAINT PETERS, MO 63376-2783
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2024026414
MO
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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