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1699195198
KRYSTEN MICHELLE BALLARD
INDEPENDENCE, MO
NPI
1699195198
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 228022459)
Enumeration Date
2014-04-23
Last Update Date
2014-04-23
Business Address
Mrs. KRYSTEN MICHELLE BALLARD
3980 SOUTH JACKSON DRIVE
INDEPENDENCE, MO 64057
Phone number: 816-795-1433
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Mailing Address
Mrs. KRYSTEN MICHELLE BALLARD
104 SW NELSON DR
GRAIN VALLEY, MO 64029
Phone number: 816-809-1128
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