Individual
TORI E THERRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
621 S NEW BALLAS RD STE 7011B, SAINT LOUIS, MO 63141-8275
(314) 251-6840
Mailing address
621 S NEW BALLAS RD STE 7011B, SAINT LOUIS, MO 63141-8275
(314) 251-6840
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2025035866
MO
363A00000X
Physician Assistant
PA3175
KY
363AM0700X
Medical Physician Assistant
PA3175
KY
363AM0700X
Medical Physician Assistant
TC338
KY
363AS0400X
Surgical Physician Assistant
PA3175
KY
363AS0400X
Surgical Physician Assistant
TC338
KY
Other
Enumeration date
02/27/2022
Last updated
04/23/2026
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