Most Relevant Information
Provider Data
| NPI Number: | 1003025446 |
| Provider Name: | KATHY ELAINE MAXEY PT, ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2251S0007X |
| Specialty: | Physical Therapist |
| License Number: | 01865 |
Most Important Dates
| Enumeration Date: | 05/22/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1100 CLUB VILLAGE DR
SUITE 103
COLUMBIA
MO
652034409
Practice Location Phone/Fax
| Phone: | 5732562777 |
| Fax: | 5732562764 |
Provider Mailing Location
2308 KYLE DR
COLUMBIA
MO
652035705
Provider Mailing Phone/Fax
| Phone: | 5734450595 |
| Fax: | 5732562764 |