Individual provider · Type 1 NPI

Pamela Michelle Macon, MPT

Pediatric Physical Therapist · Maryland Heights, MO

NPI number 1467597153 Active

Practice location

11365 Dorsett Rd
Maryland Heights, MO 63043-3411

Call (314) 872-6440 Map

Mailing address

5 Irene Ct
Des Peres, MO 63131-4141

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X112634 (MO)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1467597153

Pamela Michelle Macon, MPT's National Provider Identifier is 1467597153, issued on Feb 20, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Maryland Heights, MO. The record was last updated on Jul 8, 2007.