Advanced Physical Therapy & Fitness LLC

Organization Active NPI Physical Therapist · Saint Clair, MO

NPI 1164414918 · NPPES record last updated Apr 10, 2014

Key facts

NPI
1164414918
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
License
01720 (MO)
Legal business name
ADVANCED PHYSICAL THERAPY & FITNESS LLC
Practice address
960 Plaza Dr Ste G
Saint Clair, MO 63077-1146
Phone
(636) 629-7778
Fax
(636) 629-7778
NPI assigned
Aug 18, 2005
Organization subpart
No

Authorized official

Name
Mrs. Laurie A Aubuchon, R.P.T.
Title
Owner
Phone
(636) 629-7778

National Provider Directory

Locations

960 Plaza Dr
Ste G
Saint Clair, MO 63077
Phone (314) 920-5438

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X 01720 MO Yes

Addresses

Primary practice location

960 Plaza Dr Ste G
Saint Clair, MO 63077-1146

Mailing address

960 Plaza Dr Ste G
Saint Clair, MO 63077-1146
Phone (636) 629-7778

Other providers in Saint Clair, MO

All providers in Saint Clair, MO · Physical Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.