NPI 1215573068

Aleksei Phillip Maxwell

Practitioner Physical Therapy Assistant Des Peres, MO

Practice location

Address: 13314 Manchester Rd, Des Peres, MO 63131-1709
Phone: (314) 775-0183

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2019027370 (MO)

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Registry record

NPI: 1215573068
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Nov 2019
Record last updated: 26 Nov 2019

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.