Bouldin, Marilyn Katherin

Bouldin, Marilyn Katherin is an sole proprietor health care provider with primary practice located at 801 Euclid Ave , Cameron MO 64429-2003. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Bouldin, Marilyn Katherin can be contacted via phone (816) 632-7254.

Contact Information

Primary practice address
801 Euclid Ave Cameron MO 64429-2003
Phone: (816) 632-7254
Fax: (816) 632-3757
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2013025656 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 14-02553 Kansas

Profile Details

NPI number 1548658735
LBN Legal business name Bouldin, Marilyn Katherin
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 23rd, 2014
Last updated Dec 23rd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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