NPI 1740429117

Kathy Raven Myrick-Kasprzak, CMT

Practitioner Mechanotherapist Rolla, MO

Practice location

Address: 400 N Main St STE 200, Rolla, MO 65401-3000
Phone: (573) 458-5357
Fax: (573) 458-5357

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 2005026107 (MO)

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Registry record

NPI: 1740429117
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Feb 2009
Record last updated: 9 Feb 2009

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.