Individual
JADE RAINBOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7873 HIGHWAY N, DARDENNE PRAIRIE, MO 63368-6704
(636) 229-1777
Mailing address
1203 FOUNTAIN GRASS DR, LAKE ST LOUIS, MO 63367-4126
(217) 801-1891
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2020018919
MO
Other
Enumeration date
08/19/2020
Last updated
02/10/2022
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