Individual provider · Type 1 NPI

Jennifer Massimino

Pediatric Physical Therapist · St. Louis, MO

NPI number 1649840711 Active

Practice location

801 N 11th St
St. Louis, MO 63101-1015

Call (314) 633-5300 Map

Mailing address

12856 Haw Thicket Ln
St. Louis, MO 63131-2132

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X118744 (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 1649840711

Jennifer Massimino's National Provider Identifier is 1649840711, issued on Jun 30, 2021. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in St. Louis, MO. The record was last updated on Nov 7, 2024.