Individual provider · Type 1 NPI

Ian Lei Modde, PT, DPT

Pediatric Physical Therapist · Maryland Heights, MO

NPI number 1962279653 Active

Practice location

11365 Dorsett Rd
Maryland Heights, MO 63043-3411

Call (314) 872-6400 Map

Mailing address

409 W Argonne Dr
St. Louis, MO 63122-4133

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XNone listed

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 1962279653

Ian Lei Modde, PT, DPT's National Provider Identifier is 1962279653, issued on Dec 4, 2023. 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 Dec 4, 2023.