OrganizationActive
Aging Well Health Care, LLC
NPI 1184470809 · Physical Therapy Clinic/Center · Saint Louis, MO
Provider details
- NPI number
- 1184470809
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Irina Bursak, Administrator(314) 726-5600
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
7212 Balson Ave
Saint Louis, MO 63130-3001
Phone: (314) 726-5600
Fax: (314) 754-9317
Approximate (ZIP-level) locationGet directions
Mailing address
7212 Balson Ave
Saint Louis, MO 63130-3001
Other names (DBA / former)
- Doing business as
- Aw Health Care
Registry dates
- Enumerated
- 2024-04-24
- Last updated
- 2024-04-24
- Certified
- 2024-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.