Individual
MRS. SHELLY A SCHLUETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P. T.
Contact information
Practice address
10560 OLD OLIVE STREET RD, SUITE #100, CREVE COEUR, MO 63141-5916
(314) 567-4707
(314) 567-4504
Mailing address
8600 GIRL SCOUT RD, PEVELY, MO 63070-1115
(636) 479-7812
(636) 479-7812
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
01511
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114090792
GROUP NPI
MO
Enumeration date
01/31/2007
Last updated
07/09/2007
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