Organization
MYOFASCIAL TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY FELLING (PRESIDENT)
(314) 965-4404
Entity
Organization
Contact information
Practice address
10820 SUNSET OFFICE DR STE 110, SAINT LOUIS, MO 63127
(314) 965-4404
(314) 965-4464
Mailing address
10820 SUNSET OFFICE DR STE 110, SAINT LOUIS, MO 63127-1029
(314) 965-4404
(314) 965-4464
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/28/2006
Last updated
07/14/2020
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