KATHY RAVEN MYRICK-KASPRZAK

ROLLA, MO
NPI1740429117
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: MO  2005026107)
Enumeration Date2009-02-09
Last Update Date2009-02-09
Business Address
-- KATHY RAVEN MYRICK-KASPRZAK CMT
400 N MAIN ST STE 200
ROLLA, MO 65401-3000
Phone number: 573-458-5357
Mailing Address
-- KATHY RAVEN MYRICK-KASPRZAK CMT
400 N MAIN ST STE 200
ROLLA, MO 65401-3000
Phone number: 573-458-5357