Organization
MED X CHANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS MAYES P.T.A. (PHYSICAL THERAPY ASSISTANT)
(636) 949-5660
Entity
Organization
Contact information
Practice address
325 S 5TH ST, SAINT CHARLES, MO 63301-2630
(636) 949-5660
(636) 949-5665
Mailing address
325 S 5TH ST, SAINT CHARLES, MO 63301-2630
(636) 949-5660
(636) 949-5665
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/22/2012
Last updated
01/06/2020
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