Organization
PHYSICAL AND SPORTS THERAPY SERVICES OF ST LOUIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN O KELLEY PT DIP MDT (OWNER DIRECTOR)
(314) 726-1186
Entity
Organization
Contact information
Practice address
950 FRANCIS PL, SUITE 15, SAINT LOUIS, MO 63105-2465
(314) 726-1186
(314) 726-0176
Mailing address
950 FRANCIS PL, SUITE 15, SAINT LOUIS, MO 63105-2465
(314) 726-1186
(314) 726-0176
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
R0063
MO
Other
Enumeration date
05/01/2007
Last updated
06/24/2008
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