Individual provider · Type 1 NPI
Grace Ann Hagen, MPT
Pediatric Physical Therapist · St. Louis, MO
Practice location
4150 Laclede
St. Louis, MO 63108
Fax (314) 531-5874
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 2001006557 (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 1780657072
Grace Ann Hagen, MPT's National Provider Identifier is 1780657072, issued on Feb 8, 2006. 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 Jul 13, 2026.