Organization
MID-AMERICA THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARLA JEAN SHYKEN OTR/L (MANAGER)
(314) 434-5410
Entity
Organization
Contact information
Practice address
14360 S OUTER 40, TOWN AND COUNTRY, MO 63017-5710
(314) 434-5410
(314) 431-5640
Mailing address
14360 S OUTER 40, TOWN AND COUNTRY, MO 63017-5710
(314) 434-5410
(314) 431-5640
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225A00000X
Music Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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