Individual
MELANIE BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
514 S MAIN ST, O FALLON, MO 63366-2535
(636) 730-1188
Mailing address
14515 N OUTER 40 RD STE 110, CHESTERFIELD, MO 63017-5746
(314) 434-8680
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2025048510
MO
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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