Agee, Kristin Tayler

Agee, Kristin Tayler is an individual health care provider with primary practice located at 4444 Forest Park Ave Ste 1210, Saint Louis MO 63108-2212. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Agee, Kristin Tayler can be contacted via phone (314) 286-1940.

Contact Information

Primary practice address
4444 Forest Park Ave Ste 1210 Saint Louis MO 63108-2212
Phone: (314) 286-1940
Fax: (314) 286-1473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2022029909 Missouri

Profile Details

NPI number 1902533599
LBN Legal business name Agee, Kristin Tayler
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2022
Last updated Apr 25th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902533599 NPPES
Missouri MEDICAID 480123356

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