Mts-Des Peres, LLC

NPI #1952620700 in Des Peres, Missouri

Provider Information

NPI Number: 1952620700
Entity Type: Organization
Organization Name: Mts-Des Peres, LLC
Primary Specialty: Physical Therapist
Enumeration Date: May 19, 2010
Last Updated: May 19, 2010

Practice Location

Address: 12360 MANCHESTER RD
Address 2: SUITE 150
City: Des Peres
State: Missouri
ZIP Code: 63131-4312
Phone: (314) 966-2273

Authorized Official

Name: MICHAEL GORMAN, PT MOMT DMT
Title: OWNER
Phone: (636) 728-1777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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