Organization · NPI-2

Advance Medical Services Wellness Center

Physical Medicine & Rehabilitation · Saint Louis, MO

NPI number1205947363

StatusActive

Last updated in NPPESDec 19, 2007

Details

NPI: 1205947363
Entity type: Organization (NPI-2)
Legal business name: Advance Medical Services Wellness Center
Organization subpart: No
Enumeration date: Aug 31, 2006
Last updated: Dec 19, 2007

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208100000X	Physical Medicine & Rehabilitation	–	–	Yes
104100000X	Social Worker	–	–
163W00000X	Registered Nurse	–	–
224Z00000X	Occupational Therapy Assistant	–	–
225100000X	Physical Therapist	–	–
225X00000X	Occupational Therapist	–	–
2279G1100X	Respiratory Therapist, Registered, General Care	–	–

Practice location

2601 Whittier St
Suite #3
Saint Louis, MO 63113-2957

Phone 314-535-4040 · Fax 314-535-4041

Mailing address

680 Craig Rd
Suite 201
Creve Coeur, MO 63141-7120

Phone 314-993-0998 · Fax 314-567-1940

Authorized official

Marcia Hilton-Kyer
Administrator
3149930998

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