OrganizationActive
Ssm Select Rehab St. Louis, LLC
NPI 1033718069 · Rehabilitation Clinic/Center · O Fallon, MO
Provider details
- NPI number
- 1033718069
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Tarvin, Vice President(717) 972-1100
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3404 E Terra Ln
O Fallon, MO 63366-4554
Phone: (636) 970-0336
Fax: (636) 970-0337
Approximate (ZIP-level) locationGet directions
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Registry dates
- Enumerated
- 2020-10-21
- Last updated
- 2020-10-21
- Certified
- 2020-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.