# MID-AMERICA THERAPY SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053551911
- **Authorized official:** MARLA SHYKEN (OCCUPATIONAL THERAPIST MANAGER)
- **Authorized official phone:** (314) 434-5410

## Contact information

- **Practice address:** 14360 SOUTH OUTER FORTY, TOWN AND COUNTRY, MO 63017
- **Practice address phone:** (314) 434-5410
- **Practice address fax:** (314) 431-5640
- **Mailing address:** 14360 S OUTER 40, TOWN AND COUNTRY, MO 63017-5710
- **Mailing address phone:** (314) 434-5640
- **Mailing address fax:** (314) 431-5640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251300000X | Local Education Agency (LEA) | 2007003917 | MO | Yes |

## Other

- **Enumeration date:** 03/04/2009
- **Last updated:** 03/04/2009