NPI 1164713475
Connie Staden, PTA
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
Physical Therapy Assistant
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.