# BRENTWOOD PHYSICAL THERAPY LIMITED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brentwood Center Of Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336122266
- **Authorized official:** MR. ROBERT SHAWN TUCKER PT (PRESIDENT)
- **Authorized official phone:** (314) 961-8940

## Contact information

- **Practice address:** 2558 S BRENTWOOD BLVD, SAINT LOUIS, MO 63144-2309
- **Practice address phone:** (314) 961-8940
- **Practice address fax:** (314) 961-8969
- **Mailing address:** 2558 S BRENTWOOD BLVD, SAINT LOUIS, MO 63144-2309
- **Mailing address phone:** (314) 961-8940
- **Mailing address fax:** (314) 961-8969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/23/2005
- **Last updated:** 02/03/2013