Individual
CAITLIN M NIEMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1096 TOM GINNEVER AVE, O FALLON, MO 63366-4519
(636) 978-5255
(636) 978-5287
Mailing address
2454 W CLAY ST, SAINT CHARLES, MO 63301-2548
(636) 916-4625
(636) 916-4628
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2009020197
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00790471
RAILROAD MEDICARE
MO
Enumeration date
06/16/2009
Last updated
01/10/2012
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