MRS. Stacy Jo Kettler, PT

NPI #1801056064 in De Soto, Missouri

Provider Information

NPI Number
1801056064
Entity Type
Individual
Name
MRS. Stacy Jo Kettler, PT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Jun 11, 2008
Last Updated
Jun 11, 2008

Practice Location

Address
1108 CLARKE ST
ZIP Code
63020-2706
Phone
(636) 586-0895

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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