NPI 1770354250
Staci McCudden
Practice location
- Address
- 6631 Washington Ave, Saint Louis, MO 63130-4517
- Phone
- (636) 448-7591
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1770354250
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Jan 2024
- Record last updated
- 12 Jan 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.