Organization
WHOLE HEALTH THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN K EVERSON MHS, PT, OCS, MTC (PHYSICAL THERAPIST/ADMINISTRATOR)
(314) 991-2562
Entity
Organization
Contact information
Practice address
763 S NEW BALLAS RD, #200, SAINT LOUIS, MO 63141-8704
(314) 991-2562
Mailing address
763 S NEW BALLAS RD, #200, SAINT LOUIS, MO 63141-8704
(314) 991-2562
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
00423
MO
225100000X
Physical Therapist
01532
MO
225200000X
Physical Therapy Assistant
Primary
2005035740
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
179859
BLUE CROSS/BLUE SHEILD NO
MO
Enumeration date
11/02/2006
Last updated
09/11/2025
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