Individual provider · Type 1 NPI

Michelle Lynn Ketterer

Developmental Therapist · St. Louis, MO

NPI number 1164775417 Active

Practice location

1330 Hollins St
St. Louis, MO 63135-1244

Call (314) 521-7769 Map

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1164775417

Michelle Lynn Ketterer's National Provider Identifier is 1164775417, issued on Oct 24, 2012. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in St. Louis, MO. The record was last updated on Oct 24, 2012.