Organization · NPI-2

Adapt Performance Physio, LLC

Physical Therapist · Saint Louis, MO

NPI number1760164487
StatusActive
Last updated in NPPESAug 2, 2023

Details

NPI
1760164487
Entity type
Organization (NPI-2)
Legal business name
Adapt Performance Physio, LLC
Organization subpart
No
Enumeration date
Aug 2, 2023
Certification date
Aug 2, 2023
Last updated
Aug 2, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

12048 Tesson Ferry Rd
Saint Louis, MO 63128-1727

Phone 314-849-4455

Mailing address

1044 Schumacher Rd
Fenton, MO 63026-5192

Phone 618-210-7735

Authorized official

Zoe Munie
Owner
6182107735

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