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NPI Code Detail

MEDICARE: MRS. CHARLA TAYLOR AUSTERMANN PT

MEDICARE: MRS. CHARLA TAYLOR AUSTERMANN PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2002008849MO

General Provider Information

NPI Number : 1255530655
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHARLA TAYLOR AUSTERMANN PT
Provider Business Mailing Address
First Line : 7733 FORSYTH BLVD
Second Line : SUITE 2300
City : SAINT LOUIS
State : MO
Zip : 63105-1817
Country : US
Telephone Number : 314-863-7422
Fax Number : 636-519-7279
Provider Business Practice Location Address
First Line : 15201 OLIVE BLVD
Second Line :
City : CHESTERFIELD
State : MO
Zip : 63017-1810
Country : US
Telephone Number : 636-532-1515
Fax Number : 636-519-7279
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2007
Last Update Date : 07/16/2007

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Directions to “ MRS. CHARLA TAYLOR AUSTERMANN PT” Practice Location

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