Individual
STACEY BILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5200 EXECUTIVE CENTRE PKWY STE 200, SAINT PETERS, MO 63376-3394
(636) 255-8750
Mailing address
4273 KEATON CROSSING BLVD, O FALLON, MO 63368-8220
(636) 206-6540
(636) 422-1051
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2014020014
MO
225200000X
Physical Therapy Assistant
Primary
2014024446
MO
Other
Enumeration date
06/26/2014
Last updated
08/24/2022
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