Individual provider · Type 1 NPI

Shenay Marvetta Dewberry, ATC

Specialist · St. Louis, MO

NPI number 1629027735 Active

Practice location

1300 Hampton Ave
St. Louis, MO 63139-3163

Fax (314) 434-6066

Mailing address

2820 Liberty Landing Ct
Florissant, MO 63033-7617

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X2004027845 (MO)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1629027735

Shenay Marvetta Dewberry, ATC's National Provider Identifier is 1629027735, issued on May 8, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 13, 2026.