| NPI | 1568594232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DAVID GOODWIN President 314-965-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2025-09-11 |