NPI 1154175610
Jonathan Thomas Loesch
Practice location
- Address
- 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181
- Phone
- (636) 219-7336
- Mailing address
- 118 Crystal Creek CT, Wentzville, MO 63385-3759
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1154175610
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Apr 2024
- Record last updated
- 12 Apr 2024
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.