# PHYSICAL AND SPORTS THERAPY SERVICES OF ST LOUIS

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

## Provider details

- **NPI number:** 1740400779
- **Authorized official:** MR. DAN O KELLEY PT DIP MDT (OWNER DIRECTOR)
- **Authorized official phone:** (314) 726-1186

## Contact information

- **Practice address:** 950 FRANCIS PL, SUITE 15, SAINT LOUIS, MO 63105-2465
- **Practice address phone:** (314) 726-1186
- **Practice address fax:** (314) 726-0176
- **Mailing address:** 950 FRANCIS PL, SUITE 15, SAINT LOUIS, MO 63105-2465
- **Mailing address phone:** (314) 726-1186
- **Mailing address fax:** (314) 726-0176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | R0063 | MO | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 06/24/2008