# WASHECK MANUAL THERAPY LLC

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

## Provider details

- **NPI number:** 1528507472
- **Authorized official:** DANIEL JAMES WASHECK PT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (636) 699-9357

## Contact information

- **Practice address:** 3074 WINGHAVEN BLVD, O'FALLON, MO 63368
- **Practice address phone:** (636) 265-3333
- **Practice address fax:** (636) 265-3337
- **Mailing address:** 9 WINGSPAN CT, LAKE SAINT LOUIS, MO 63367-1834
- **Mailing address phone:** (636) 699-9357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | LC001521104 | MO | Yes |

## Other

- **Enumeration date:** 02/13/2017
- **Last updated:** 02/13/2017