Organization
SPINE REHAB AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE WINTERS DPT (OWNER)
(314) 626-3161
Entity
Organization
Contact information
Practice address
481 DANA MEADOWS LN, BALLWIN, MO 63021-6493
(314) 626-3161
Mailing address
481 DANA MEADOWS LN, BALLWIN, MO 63021-6493
(314) 626-3161
(314) 200-2012
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
05/05/2023
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