NPI 1003025446
Kathy Elaine Maxey, PTATC
Practice location
- Address
- 1100 Club Village Dr Suite 103, Columbia, MO 65203-4409
- Phone
- (573) 256-2777
- Fax
- (573) 256-2764
- Mailing address
- 2308 Kyle Dr, Columbia, MO 65203-5705
Registered specialties
Sports Physical Therapist
Primary
Registry record
- NPI
- 1003025446
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 May 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.