Organization
SPEAKEASY THERAPIES & FITNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CELIA G MONTES-KOLENCE MS-CCC, SLP (OWNER)
(314) 348-7327
Entity
Organization
Contact information
Practice address
2718 SUTTON BLVD, MAPLEWOOD, MO 63143-3036
(314) 246-0751
(314) 754-9926
Mailing address
2718 SUTTON BLVD, SAINT LOUIS, MO 63143-3036
(314) 348-7327
(314) 754-9926
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M53210784658
—
MO
Enumeration date
01/31/2023
Last updated
04/04/2024
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