Individual
KRISTA SHUMATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 MANCHESTER AVE, SAINT LOUIS, MO 63110-2012
(314) 747-5845
(314) 747-5867
Mailing address
5000 MANCHESTER AVE, SAINT LOUIS, MO 63110-2012
(314) 747-5845
(314) 747-5867
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2000174360
MO
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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