Cynthia Loveless

Individual provider Active NPI Physical Therapist · High Ridge, MO

NPI 1801905484 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1801905484
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
32 Dillon Plaza Dr
High Ridge, MO 63049-2478
Phone
(636) 677-3100
NPI assigned
Aug 29, 2006
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Yes

Addresses

Primary practice location

32 Dillon Plaza Dr
High Ridge, MO 63049-2478

Mailing address

2458 Driftwood CT
Imperial, MO 63052-4301
Phone (636) 461-0450

Other identifiers

IdentifierTypeStateIssuer
108217OtherMOLICENSE #

Other providers in High Ridge, MO

All providers in High Ridge, MO · Physical Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.