Individual
BYRON CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., ATC
Contact information
Practice address
1 RAMS WAY, EARTH CITY, MO 63045-1523
(314) 516-8735
(314) 515-8777
Mailing address
1 RAMS WAY, EARTH CITY, MO 63045-1523
(314) 516-8735
(314) 515-8777
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
8322
MN
2255A2300X
Athletic Trainer
Primary
2010018685
MO
Other
Enumeration date
07/10/2009
Last updated
02/12/2014
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