OrganizationActive
Physical Therapy Spine & Sports Medicine LLC
NPI 1194454090 · Rehabilitation Clinic/Center · St. Peters, MO
Provider details
- NPI number
- 1194454090
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Stephen Krzyminski, Senior Vp
Practice location
2046 Queens Brooke Blvd
Suite 101
St. Peters, MO 63376-7852
Phone: (419) 221-6717
Fax: (419) 222-0507
Mailing address
Po Box 150
Lima, OH 45802-0150
Registry dates
- Enumerated
- 2022-06-07
- Last updated
- 2023-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.