Individual provider · Type 1 NPI
Kathleen Keaton Hubbard, PTA
Specialist · Bonne Terre, MO
NPI number
1770775819
Active
Practice location
513 E Capri Dr
Bonne Terre, MO 63628-9331
Fax (573) 358-7356
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 116158 (MO) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
Other specialist providers in Bonne Terre
About NPI 1770775819
Kathleen Keaton Hubbard, PTA's National Provider Identifier is 1770775819, issued on Aug 13, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bonne Terre, MO. The record was last updated on Aug 13, 2007.