Organization
PAIN RELIEF ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW WISE (OWNER)
(636) 946-0799
Entity
Organization
Contact information
Practice address
190 SPRING DR, SAINT CHARLES, MO 63303-3255
(636) 946-0799
(636) 946-3166
Mailing address
PO BOX 790126, DEPT 10203, SAINT LOUIS, MO 63179-0126
(636) 946-0799
(636) 946-3166
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194003996
NPI FOR SARAH EDWARDS PT
MO
Enumeration date
09/09/2011
Last updated
09/09/2011
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