Katelyn Kidd, PT

NPI #1932640646 in Shiloh, Illinois

Provider Information

NPI Number: 1932640646
Entity Type: Individual
Name: Katelyn Kidd, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Mar 14, 2017
Last Updated: Mar 14, 2017

Practice Location

Address: 1901 FRANK SCOTT PKWY E
City: Shiloh
State: Illinois
ZIP Code: 62269-7342
Phone: (618) 235-0514

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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