NPI | 1518451426 |
---|---|
Former Name | KARSYN MICHELLE MEAIRS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2018027984) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-05880) |
Enumeration Date | 2018-06-15 |
Last Update Date | 2020-01-17 |