# ADVANCE MEDICAL SERVICES WELLNESS CENTER

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

## Provider details

- **NPI number:** 1205947363
- **Authorized official:** MARCIA HILTON-KYER MBA (ADMINISTRATOR)
- **Authorized official phone:** (314) 993-0998

## Contact information

- **Practice address:** 2601 WHITTIER ST, SUITE \#3, SAINT LOUIS, MO 63113-2957
- **Practice address phone:** (314) 535-4040
- **Practice address fax:** (314) 535-4041
- **Mailing address:** 680 CRAIG RD, SUITE 201, CREVE COEUR, MO 63141-7120
- **Mailing address phone:** (314) 993-0998
- **Mailing address fax:** (314) 567-1940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | — | — |
| 163W00000X | Registered Nurse | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 224Z00000X | Occupational Therapy Assistant | — | — | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 2279G1100X | General Care Registered Respiratory Therapist | — | — | — |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 12/19/2007