Provider Demographics
NPI:1952002917
Name:RALL, MARGARET ANNE (MED, ATC)
Entity Type:Individual
Prefix:MISS
First Name:MARGARET
Middle Name:ANNE
Last Name:RALL
Suffix:
Gender:F
Credentials:MED, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6303 SUTHERLAND AVE APT A
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63109-2220
Mailing Address - Country:US
Mailing Address - Phone:314-494-9276
Mailing Address - Fax:
Practice Address - Street 1:11333 BIG BEND RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63122-5799
Practice Address - Country:US
Practice Address - Phone:314-494-9276
Practice Address - Fax:314-584-2094
Is Sole Proprietor?:No
Enumeration Date:2023-03-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20050340352255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer