NPI 1013666403

Lifetime Redesign OT, PLLC

Organisation Geriatric Medicine (Family Medicine) Physician Saint Louis, MO

Practice location

Address: 12395 Olive Blvd STE 200, Saint Louis, MO 63141-5465
Phone: (646) 319-9017
Mailing address: 1449 S Michigan Ave STE 13138, Chicago, IL 60605-2810

Authorised official

Name: Joseph Mitchell
Title: Authorized Official
Phone: (270) 993-4789

Registered specialties (2)

Geriatric Medicine (Family Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207QG0300X

Other Family Medicine providers in Missouri →

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X

Other Counselor providers in Missouri →

Registry record

NPI: 1013666403
Entity type: Organization
NPI issued: 22 Mar 2022
Record last updated: 29 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.