Individual
MR. JESSE STROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1 JEFFERSON BARRACKS RD, SAINT LOUIS, MO 63125-4181
(314) 894-5717
Mailing address
769 KELLEY DR, O FALLON, IL 62269-7229
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0013021
CO
Other
Enumeration date
03/26/2015
Last updated
05/06/2024
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