IndividualActive
John Kopsky
NPI 1184313769 · Geriatric Physical Therapist · Herculaneum, MO
Provider details
- NPI number
- 1184313769
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 2021021473 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1333 Scenic Dr
Herculaneum, MO 63048-1550
Phone: (636) 931-2995
Approximate (ZIP-level) locationGet directions
Mailing address
3619 Tamm Ave
Saint Louis, MO 63109-1358
Registry dates
- Enumerated
- 2023-05-01
- Last updated
- 2023-05-01
- Certified
- 2023-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.