Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | 2014026933 | MO |
NPI | 1306255005 |
---|---|
Provider Name | Dr. Kara Evens |
First Address | Saint Louis, MO 63131-4312 |
Second Address | Chesterfield, MO 63005-1375 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2014 |
Last Update Date | 31/01/2017 |