Individual
JERLINE TUGGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 PAPIN ST STE 109, SAINT LOUIS, MO 63103-3132
(314) 690-9995
(314) 558-2600
Mailing address
1310 PAPIN ST STE 109, SAINT LOUIS, MO 63103-3132
(314) 690-9995
(314) 558-2600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
101799
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101779
—
MO
Enumeration date
02/21/2020
Last updated
02/21/2020
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