Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Kathyren Marie Southerland, PTA

Individual provider Physical Therapy Assistant · NPI 1083083729

Mrs. Kathyren Marie Southerland, PTA is a Physical Therapy Assistant in Owensville, Missouri. Licensed in Missouri. Registered with an NPI since 2015.

Licensed in
MO
In the registry since
2015
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

1910 Nursing Home Rd
Owensville, MO 65066-2844
Phone: (573) 437-4101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2007023630 (MO)

Record details

NPI number1083083729
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 23, 2015
Last updated in NPPESSeptember 23, 2015

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