| NPI | 1295970325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN KELLY EVERSON Physical Therapist/Owner 314-991-2562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MO 01532) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2009-06-22 |