OrganizationActive
Against the Grainz
NPI 1013560721 · Specialist · Saint Louis, MO
Provider details
- NPI number
- 1013560721
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Annetta Thomas, Owner(314) 719-6701
Specialties & taxonomies
Other Service Providers
Practice location
8523 Drury Ln
Saint Louis, MO 63147-1313
Phone: (314) 719-6701
Approximate (ZIP-level) locationGet directions
Mailing address
8523 Drury Ln
Saint Louis, MO 63147-1313
Registry dates
- Enumerated
- 2019-07-22
- Last updated
- 2019-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.