Katie Jayne Glaze, MPT

NPI #1922877265 in Destin, Florida

Provider Information

NPI Number: 1922877265
Entity Type: Individual
Name: Katie Jayne Glaze, MPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Dec 28, 2023
Last Updated: Dec 28, 2023

Practice Location

Address: 520 VERA CRUZ DR
City: Destin
State: Florida
ZIP Code: 32541-3016
Phone: (850) 974-0632

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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