| NPI | 1720429558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE WILLIAM WEINDEL Owner 314-922-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MO 2012027772) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2014-11-05 |