# SSM SELECT REHAB ST. LOUIS, LLC

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

## Provider details

- **NPI number:** 1750980785
- **Authorized official:** JOHN F DUGGAN (VICE PRESIDENT)
- **Authorized official phone:** (717) 972-1100

## Contact information

- **Practice address:** 12539 OLIVE BLVD, SAINT LOUIS, MO 63141-6311
- **Practice address phone:** (314) 205-2006
- **Practice address fax:** (314) 205-2241
- **Mailing address:** 4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
- **Mailing address phone:** (717) 972-1100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/21/2020
- **Last updated:** 08/20/2026
