Individual
MELINDA KUEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8460 WATSON RD, SAINT LOUIS, MO 63119-5247
(314) 302-0378
Mailing address
8460 WATSON RD, SAINT LOUIS, MO 63119-5247
(314) 302-0378
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070015541
IL
225100000X
Physical Therapist
Primary
2007023162
MO
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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