Individual provider · Type 1 NPI

Carson Blaine Fonner, DPT

Physical Therapist · St. Louis, MO

NPI number 1649978263 Active

Practice location

4240 Duncan Ave, Dept Physical Therapy, Ste 120
St. Louis, MO 63110-1101

Call (314) 286-1940 Map

Fax (314) 286-1473

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X2025017923 (MO)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1649978263

Carson Blaine Fonner, DPT's National Provider Identifier is 1649978263, issued on Feb 22, 2023. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in St. Louis, MO. The record was last updated on Jun 20, 2025.