Christine Vogt, PTA
Individual provider Active NPI Physical Therapy Assistant · Affton, MO
NPI 1295869352 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295869352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2004035095 (MO)
- Practice address
- 9541 Hyde Park Dr
Affton, MO 63123-7341 - Phone
- (314) 638-2009
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004035095 | MO | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2004035095 | MO | Yes |
Addresses
Primary practice location
9541 Hyde Park Dr
Affton, MO 63123-7341
Mailing address
9541 Hyde Park Dr
Affton, MO 63123-7341
Phone (314) 638-2009
Other providers in Affton, MO
- Meghan Szczesiul
- Emily E Timm
- Tomlyn, Inc
- Total Access Urgent Care, PC
- Victory Speech Therapy and Autism Consulting, LLC
- Jennifer Weirich
- Emily Wendt
- Melony Patrice White
- Danielle Wilding
- Sara Young
All providers in Affton, MO · Physical Therapy Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.