Kathy Elaine Maxey
Physical Therapist - Sports
1100 Club Village Dr Suite 103
Columbia
, Missouri 65203-4409
Kathy Elaine Maxey
Physical Therapist - Sports
1100 Club Village Dr Suite 103
Columbia
, Missouri 65203-4409
(573) 256-2764
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About
Features
Specialties
- Physical Therapist - Sports
Languages spoken
- English
Location
First Address
- Kathy Elaine Maxey
- 2308 Kyle Dr
- Columbia, MO
- Zip : 65203-5705
- Fax : (573) 256-2764
- Phone : (573) 445-0595
Second Address
- Kathy Elaine Maxey
- 1100 Club Village Dr Suite 103
- Columbia, MO
- Zip : 65203-4409
- Fax : (573) 256-2764
- Phone : (573) 256-2777
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251S0007X | Physical Therapist - Sports | 01865 | MO |
National Provider Identifier
| NPI | 1003025446 |
|---|---|
| Provider Name | Kathy Elaine Maxey |
| First Address | Columbia, MO 65203-5705 |
| Second Address | Columbia, MO 65203-4409 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.