NPI 1124505334

Shelby Reynoso, PTDPT

Practitioner Physical Therapist Wentzville, MO

Practice location

Address: 280 Interstate Dr, Wentzville, MO 63385-4510
Phone: (636) 327-3800

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 2018020342 (MO)

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Registry record

NPI: 1124505334
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jul 2018
Record last updated: 1 Dec 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.