Individual
LINDA M TACKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
555 N NEW BALLAS RD, SUITE 225, SAINT LOUIS, MO 63141-6825
(314) 997-8700
(314) 997-8799
Mailing address
555 N NEW BALLAS RD, SUITE 225, SAINT LOUIS, MO 63141-6825
(314) 997-8700
(314) 997-8799
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
R1005
MO
Other
Enumeration date
09/28/2006
Last updated
07/25/2011
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