Mitchell Hammack, DPT Valid NPI
Individual provider · Physical Therapist · O Fallon, MO
- NPI
- 1477146462
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- 2021006186 (MO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2021-02-19
- Last updated
- 2021-02-19
Practice location
4273 Keaton Crossing Blvd
O Fallon, MO 63368-8220
(636) 206-6540