Search › Missouri › 363LP0200X
Blair Theis
NPI 1013568120 · on the registry since 2019
Practice
- Address
- 35 Goodwin Dr
Festus, MO 63028 - Phone
- (636) 933-4141
- Fax
- (636) 931-7007
- Organisation at this address
- Ccpartners Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Additional practice sites
- 1309 Maple St, Farmington, MO
- 1 Childrens Pl, Saint Louis, MO
Registry record
- Primary taxonomy
- 363LP0200X
363LP0200X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-02-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri