Individual
MICHELE BOATRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10859 W FLORISSANT AVE, SAINT LOUIS, MO 63136-2405
(314) 521-3000
(314) 521-7800
Mailing address
12139 LADUE HEIGHTS DR, SAINT LOUIS, MO 63141-6656
(314) 579-9194
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02119
LICENSE #
MO
Enumeration date
08/23/2006
Last updated
07/08/2007
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