Individual provider · Type 1 NPI

Mikkaela Suntrup, PTA

Physical Therapy Assistant · Florissant, MO

NPI number 1346904646 Active

Practice location

3501 Dunn Rd Ste 108
Florissant, MO 63033-6762

Call (314) 972-8070 Map

Mailing address

5755 Mardel Ave
St. Louis, MO 63109-1551

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2016025193 (MO)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1346904646

Mikkaela Suntrup, PTA's National Provider Identifier is 1346904646, issued on Oct 24, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Florissant, MO. The record was last updated on Oct 24, 2021.