Individual
MR. KRISTOPHER RYAN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4240 DUNCAN AVE, DEPT PHYSICAL THERAPY, STE 120, SAINT LOUIS, MO 63110-1101
(314) 286-1940
(314) 286-1473
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 286-1940
(314) 286-1473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2014023754
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
480075880
—
MO
Enumeration date
09/29/2014
Last updated
04/17/2025
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