Individual provider · NPI-1

Susy Alias, md

Physical Medicine & Rehabilitation · Saint Louis, MO

NPI number1750332680
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1750332680
Entity type
Individual (NPI-1)
Name
Susy Alias
Credential
md
Sex
Female
Sole proprietor
No
Enumeration date
May 15, 2006
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & RehabilitationR9895MOYes
204D00000X Neuromusculoskeletal Medicine & OMMr9895MO

Other names

  • Susy Alias (Professional Name)

Practice location

1 Jefferson Barracks Dr
Jefferson Barracks, Va
Saint Louis, MO 63125-4181

Phone 314-894-6629 · Fax 314-845-5077

Mailing address

1 Jb Drive
Jefferson Barracks
St, Louis, MO 63125

Phone 314-894-6629 · Fax 314-845-5077

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