Provider Demographics
NPI:1801875133
Name:GETTEMEYER, JOAN L (PT)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:L
Last Name:GETTEMEYER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10535 HOBDAY AVE
Mailing Address - Street 2:
Mailing Address - City:ST ANN
Mailing Address - State:MO
Mailing Address - Zip Code:63074
Mailing Address - Country:US
Mailing Address - Phone:314-429-5593
Mailing Address - Fax:314-895-5040
Practice Address - Street 1:5960 HOWDERSHELL RD
Practice Address - Street 2:STE 204
Practice Address - City:HAZELWOOD
Practice Address - State:MO
Practice Address - Zip Code:63042-4100
Practice Address - Country:US
Practice Address - Phone:314-895-1136
Practice Address - Fax:314-895-5040
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO01795208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation