NPI | 1679084578 |
---|---|
Former Name | KAYCEE WEISER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06803) |
Additional Taxonomies | 225100000X Physical Therapist |
2255A2300X Specialist/Technologist, Athletic Trainer | |
Enumeration Date | 2017-10-18 |
Last Update Date | 2021-06-21 |