Individual
MICHAEL R TADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3520 CHOUTEAU AVE, SAINT LOUIS, MO 63103-2916
(314) 771-2100
Mailing address
866 TUXEDO BLVD, SAINT LOUIS, MO 63119-2073
(314) 962-0010
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT103413
MO
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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