Organization
ADVANCE MEDICAL SERVICES WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA HILTON-KYER MBA (ADMINISTRATOR)
(314) 993-0998
Entity
Organization
Contact information
Practice address
2601 WHITTIER ST, SUITE #3, SAINT LOUIS, MO 63113-2957
(314) 535-4040
(314) 535-4041
Mailing address
680 CRAIG RD, SUITE 201, CREVE COEUR, MO 63141-7120
(314) 993-0998
(314) 567-1940
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
163W00000X
Registered Nurse
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
2279G1100X
General Care Registered Respiratory Therapist
—
—
Other
Enumeration date
08/31/2006
Last updated
12/19/2007
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