IndividualActive
Kathy Maxey, PT, ATC
NPI 1003025446 · Sports Physical Therapist · Columbia, MO
Provider details
- NPI number
- 1003025446
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 01865 (MO)
Practice location
1100 Club Village Dr
Suite 103
Columbia, MO 65203-4409
Phone: (573) 256-2777
Fax: (573) 256-2764
Mailing address
2308 Kyle Dr
Columbia, MO 65203-5705
Registry dates
- Enumerated
- 2007-05-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.