Organization
PRO FITNESS & REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER NOELKER PT (MANAGING MEMBER/OWNER)
(636) 221-5188
Entity
Organization
Contact information
Practice address
3021 HIGHWAY A STE 102, WASHINGTON, MO 63090-5498
(636) 234-5211
Mailing address
2460 STONECREST DR, WASHINGTON, MO 63090-5566
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/20/2022
Last updated
05/05/2022
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