# MTS-LAKE SAINT LOUIS, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1629492111
- **Authorized official:** DAN WASHECK PT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (636) 699-9357

## Contact information

- **Practice address:** 9961 WINGHAVEN BLVD, O FALLON, MO 63368-3623
- **Practice address phone:** (636) 728-1777
- **Mailing address:** 9961 WINGHAVEN BLVD, O FALLON, MO 63368-3623
- **Mailing address phone:** (636) 728-1777

## Taxonomy

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

## Other

- **Enumeration date:** 02/05/2014
- **Last updated:** 02/05/2014