Individual provider · NPI-1
Rebecca Ammann, PT, DPT
Physical Therapist · Saint Louis, MO
NPI number1720694607
StatusActive
Last updated in NPPESSep 26, 2022
Details
- NPI
- 1720694607
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Ammann
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2020
- Certification date
- Sep 26, 2022
- Last updated
- Sep 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2018028529 | MO | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 2014030412 | MO |
Practice location
2705 Dougherty Ferry Rd Ste 104Saint Louis, MO 63122-3372
Phone 314-394-3319
Mailing address
2705 Dougherty Ferry Rd Ste 104Saint Louis, MO 63122-3372
Phone 314-394-3319 · Fax 314-394-3320
Other practice locations
723 S Laclede Station Rd
Saint Louis, MO 63119-4911
Saint Louis, MO 63119-4911
Phone 314-446-2346
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