Organization · Type 2 NPI

Lifetime Redesign Ot, PLLC

Geriatric Medicine (Family Medicine) Physician · St. Louis, MO

NPI number 1013666403 Active

Practice location

12395 Olive Blvd Ste 200
St. Louis, MO 63141-5465

Mailing address

1449 S Michigan Ave Ste 13138
Chicago, IL 60605-2810

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Geriatric Medicine (Family Medicine) Physician Primary 207QG0300XNone listed

Geriatric Medicine (Family Medicine) Physician: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

2 other providers at this address

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About NPI 1013666403

Lifetime Redesign Ot, PLLC's National Provider Identifier is 1013666403, issued on Mar 22, 2022. The primary taxonomy on file is Geriatric Medicine (Family Medicine) Physician (207QG0300X), and the practice location is in St. Louis, MO. The record was last updated on May 29, 2025.