Organization
SUMMIT PERFORMANCE AND PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR DETTMANN DPT PT (OWNER)
(309) 231-0196
Entity
Organization
Contact information
Practice address
567 HANLEY INDUSTRIAL CT, BRENTWOOD, MO 63144-1901
(309) 231-0196
Mailing address
214 E CLINTON PL, SAINT LOUIS, MO 63122-6106
(309) 231-0196
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/30/2026
Last updated
05/30/2026
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