NPI 1003473786

Danielle Buchanan Ivie, DPT

Practitioner Physical Therapist Saint Louis, MO

Practice location

Address: 4444 Forest Park Ave STE 1210, Saint Louis, MO 63108-2212
Phone: (314) 286-1940
Fax: (314) 286-1473
Mailing address: 4444 Forest Park Ave Cb 8502, Saint Louis, MO 63108-2212

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 2019017284 (MO)

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Registry record

NPI: 1003473786
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 May 2019
Record last updated: 25 Feb 2021

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.