Individual
MELLI ANJA VYTLACIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1001 S KIRKWOOD RD STE 150, KIRKWOOD, MO 63122-7251
(314) 821-7554
(314) 821-0048
Mailing address
1216 VICTOR ST, SAINT LOUIS, MO 63104-4326
(323) 317-1164
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2022024262
MO
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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