Individual
MATTHEW KUNGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
853 MEDICAL DR, SUITE 109, WENTZVILLE, MO 63385-3823
(636) 327-7240
Mailing address
853 MEDICAL DR, SUITE 109, WENTZVILLE, MO 63385-3823
(636) 327-7240
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2015027117
MO
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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