Organization
MISSOURI LUNA CARE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE GONZALEZ (PAYER OPERATIONS SUPERVISOR)
(916) 232-3047
Entity
Organization
Contact information
Practice address
231 S BEMISTON AVE STE 800, CLAYTON, MO 63105-1925
(866) 806-3599
Mailing address
PO BOX 290609, NASHVILLE, TN 37229-0609
(866) 525-3175
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/19/2021
Last updated
02/06/2026
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