| NPI | 1134171036 |
|---|---|
| Former Name | VICTORIA M KERKEMEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 100482) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: MO 109562) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-07-15 |