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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TISH S. KETTLER, MSPT

Active Sole Proprietor

TISH S. KETTLER, MSPT is a Physical Therapy Assistant healthcare provider located in SAINT LOUIS, Missouri. NPI 1154867042 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SAINT LOUIS, MO

Registration Details

NPI Number
1154867042
Provider Type
Individual
Gender
Female
NPI Issued
Jan 16, 2017 (9.5333938255183 yrs)
Last Updated
Jan 16, 2017
Licenses
114355 (MO)
070.010801 (IL)
Sole Proprietor
Yes

Practice Information

Address
7700 CLAYTON RD
SUITE 311
SAINT LOUIS, MO, 631171328
Browse MO providers · Browse ZIP 63117
Phone
3142836936
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in SAINT LOUIS, MO

Name Credential NPI
MRS. CHRISTINA MARIE LAURY PHYSICAL THERAPIST 1992777833
SARA J. BENNETT PT 1912972084
KERSTIN M BENYA PT 1760441406
MRS. CYNTHIA B LECHNER PT 1265496913
TRICIA M. AUSTIN PHD, PT, ATC 1912964594
ANDREA J WATTS PT 1275581100
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.