Peggy Buechler

Individual provider Active NPI Physical Therapist · Fenton, MO

NPI 1104339738 · NPPES record last updated Nov 6, 2017

Key facts

NPI
1104339738
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
00715 (MO)
Practice address
1 Arbor Ter
Fenton, MO 63026-3900
Phone
(636) 343-0016
NPI assigned
Nov 6, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
00715MOMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 00715 MO Yes

Addresses

Primary practice location

1 Arbor Ter
Fenton, MO 63026-3900

Mailing address

1 Arbor Ter
Fenton, MO 63026-3900

Other providers in Fenton, MO

All providers in Fenton, MO · Physical Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.