NPI 1114310158

Blake Baldwin, PTA

Practitioner Physical Therapy Assistant Saint Peters, MO

Practice location

Address: 5400 Executive Centre Pkwy, Saint Peters, MO 63376-2594
Phone: (636) 447-1098
Mailing address: 2544 Jackson Rd, Wentzville, MO 63385-4202

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2014037263 (MO)

Other Physical Therapy Assistant providers in Missouri →

Registry record

NPI: 1114310158
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Mar 2015
Record last updated: 16 Mar 2015

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.