Individual
AMANDA CHUMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 S KIRKWOOD RD, STE 140, SAINT LOUIS, MO 63122-7254
(314) 821-5300
Mailing address
754 STONE CANYON DR, MANCHESTER, MO 63021-7124
(636) 527-4608
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2002015002
LICENSE #
MO
Enumeration date
08/23/2006
Last updated
07/08/2007
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