NPI 1679112635
Kristin Marie Matushek
Practice location
- Address
- 13314 Manchester Rd, Des Peres, MO 63131-1709
- Phone
- (314) 775-0183
- Fax
- (314) 775-0190
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1679112635
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Dec 2019
- Record last updated
- 22 Dec 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.