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Search › Missouri › 2251X0800X

Stephen Douglas, P.T

NPI 1417976044 · on the registry since 2006 · sole proprietor

Practice

Address
217 Chesterfield Towne Ctr
Chesterfield, MO 63005
Phone
(636) 728-0889
Organisation at this address
Sports Enhancement Group Llc
Sports Enhancement Group, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
2251X0800X
2251X0800X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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