Whalio Doctors

NPI 1164713475

Connie Staden, PTA

Practitioner Physical Therapy Assistant Chesterfield, MO

Practice location

Address
14795 Greenloch CT, Chesterfield, MO 63017-5518
Phone
(314) 580-8900
Mailing address
27 White Plains Dr, Chesterfield, MO 63017-2039

Registered specialties (2)

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2010027326 (MO)
Physical Therapy Assistant
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2081338 (TX)

Registry record

NPI
1164713475
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Apr 2011
Record last updated
2 Nov 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.