Organization · Type 2 NPI

Physical Therapy Spine & Sports Medicine LLC

Rehabilitation Clinic/Center · St. Peters, MO

NPI number 1194454090 Active

Practice location

2046 Queens Brooke Blvd, Suite 101
St. Peters, MO 63376-7852

Call (419) 221-6717 Map

Fax (419) 222-0507

Mailing address

PO Box 150
Lima, OH 45802-0150

Specialties and licenses

Taxonomy	Code	License
Rehabilitation Clinic/Center Primary	261QR0400X	None listed

Rehabilitation Clinic/Center: Definition to come...

Another provider at this address

Randall Ray Schultze Iii, LPCProfessional Counselor St. Peters, MO NPI 1144020090

Other rehabilitation clinic/center providers in St. Peters

See all in St. Peters →

NPI record

NPI: 1194454090
Entity type: Organization (Type 2)
Issued: Jun 7, 2022
Last updated: Oct 19, 2023
Status: Active

Other names

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Cora Physical Therapy - St. Peters · doing business as
Cora Physical Therapy - St. Peters · doing business as

Authorized official

Stephen Krzyminski
Senior VP
(419) 221-6717

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194454090

Physical Therapy Spine & Sports Medicine LLC's National Provider Identifier is 1194454090, issued on Jun 7, 2022. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in St. Peters, MO. The record was last updated on Oct 19, 2023.