Organization
EUREKA PHYSICAL THERAPY
Active
Other names
Eureka Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM MARIE MILLER PT (PRESIDENT)
(636) 938-9373
Entity
Organization
Contact information
Practice address
429 MERAMEC BLVD., EUREKA, MO 63025-1108
(636) 938-9373
(636) 938-9373
Mailing address
429 MERAMEC BLVD, EUREKA, MO 63025-3906
(636) 938-9373
(636) 938-9373
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
R0728
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124158
HEALTHLINK
MO
01
—
127499
BLUE CROSS BLUE SHIELD
MO
01
—
320062
HEALTH PARTNERS
MO
01
—
6400127
MEDICARE COMPLETE
MO
Enumeration date
04/12/2007
Last updated
06/21/2018
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