IndividualActive
Mary Ivy, MSDE
NPI 1932874385 · Developmental Therapist · Brentwood, MO
Provider details
- NPI number
- 1932874385
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MSDE
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1314 Strassner Dr
Brentwood, MO 63144-1873
Phone: (314) 918-1369
Fax: (314) 918-1609
Approximate (ZIP-level) locationGet directions
Mailing address
1314 Strassner Dr
Brentwood, MO 63144-1873
Registry dates
- Enumerated
- 2021-08-09
- Last updated
- 2021-08-09
- Certified
- 2021-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.