Individual
HALEY NOEL NYSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6420 CLAYTON RD, RICHMOND HEIGHTS, MO 63117-1811
(314) 768-8000
Mailing address
3645 MANHATTAN AVE, MAPLEWOOD, MO 63143-4116
(815) 514-8272
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2021040990
MO
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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