Organization
INNOVATIVE THERAPY INITIATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY A SEEMAN (PRACTICE MANAGER)
(314) 690-9995
Entity
Organization
Contact information
Practice address
1310 PAPIN ST STE 109, SAINT LOUIS, MO 63103-3132
(314) 690-9995
(314) 558-2600
Mailing address
1310 PAPIN ST STE 109, SAINT LOUIS, MO 63103-3132
(314) 503-1203
(314) 558-2600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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