Individual
MATTHEW ST JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
398 BLUE JAY DR, LIBERTY, MO 64068-1977
(816) 407-2315
(816) 407-1555
Mailing address
2609 GLENN HENDREN DR, LIBERTY, MO 64068-3313
(816) 407-4555
(816) 781-6973
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2017017493
MO
Other
Enumeration date
06/30/2017
Last updated
06/30/2017
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