Provider Demographics
NPI:1649223678
Name:MEIER, GARY E (PT)
Entity Type:Individual
Prefix:MR
First Name:GARY
Middle Name:E
Last Name:MEIER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 BILTMORE DR
Mailing Address - Street 2:SUITE 403
Mailing Address - City:FENTON
Mailing Address - State:MO
Mailing Address - Zip Code:63026-4641
Mailing Address - Country:US
Mailing Address - Phone:636-343-0350
Mailing Address - Fax:636-343-3519
Practice Address - Street 1:400 BILTMORE DR
Practice Address - Street 2:SUITE403
Practice Address - City:FENTON
Practice Address - State:MO
Practice Address - Zip Code:63026-4641
Practice Address - Country:US
Practice Address - Phone:636-343-0350
Practice Address - Fax:636-343-3519
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR0791225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist