DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CANDACE CUNNINGHAM

MEDICARE: CANDACE CUNNINGHAM
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 Therapist2020025044MO

General Provider Information

NPI Number : 1457967622
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDACE CUNNINGHAM
Provider Business Mailing Address
First Line : 4273 KEATON CROSSING BLVD
Second Line :
City : O FALLON
State : MO
Zip : 63368-8220
Country : US
Telephone Number : 636-206-4225
Fax Number :
Provider Business Practice Location Address
First Line : 1348 BASS PRO DR
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-2461
Country : US
Telephone Number : 636-757-5075
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2020
Last Update Date : 09/22/2020

Similar Medicare Providers

1467215947 — ABIGAIL JOHNSON DPT
Practice Location Address:
1348 BASS PRO DR
SAINT CHARLES, MO
63301-2461
Practice Phone: 636-757-5075
Practice Fax: 636-757-5076
1780033969 — DANIEL SCRIBNER DPT
Practice Location Address:
1348 BASS PRO DR
SAINT CHARLES, MO
63301-2461
Practice Phone: 636-757-5075
Practice Fax:
1306430905 — BRENDAN BRAUSE PT
Practice Location Address:
1348 BASS PRO DR
SAINT CHARLES, MO
63301-2461
Practice Phone: 636-757-5075
Practice Fax:
1942895602 — AARON N BUETTNER DPT
Practice Location Address:
1348 BASS PRO DR
SAINT CHARLES, MO
63301-2461
Practice Phone: 636-757-5075
Practice Fax:
1821723297 — STEVEN REIERSON DPT
Practice Location Address:
1348 BASS PRO DR
SAINT CHARLES, MO
63301-2461
Practice Phone: 636-757-5075
Practice Fax:
1487457735 — ANNA MIKULICZ DPT
Practice Location Address:
1348 BASS PRO DR
SAINT CHARLES, MO
63301-2461
Practice Phone: 636-757-5075
Practice Fax:

Directions to “ CANDACE CUNNINGHAM ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.