SearchMissouri374J00000X

Katie Mack

NPI 1699071308 · on the registry since 2011 · sole proprietor

Practice

Address
2914 Texas Ave
Saint Louis, MO 63118
Phone
(314) 258-3076

Registry record

Primary taxonomy
374J00000X
374J00000X
Sex
Female
Record last updated
2011-01-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri