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

BESPOKE PHYSICAL THERAPY, WELLNESS AND PERFORMANCE

Active Organization

BESPOKE PHYSICAL THERAPY, WELLNESS AND PERFORMANCE is a Physical Therapy Assistant organization located in WILDWOOD, Missouri. NPI 1508715756 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · WILDWOOD, MO

Registration Details

NPI Number
1508715756
Provider Type
Organization
NPI Issued
Jan 22, 2026 (0.58902991674283 yrs)
Last Updated
Jan 26, 2026

Practice Information

Address
17014 NEW COLLEGE AVE STE D
WILDWOOD, MO, 630401177
Browse MO providers · Browse ZIP 63040
Phone
6365007772
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Organizations in WILDWOOD, MO

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.