MEDICARE: MARIO MILLSAP

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
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1841935590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIO MILLSAP

Provider Business Mailing Address
First Line	:	3144 LACKLAND AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63116-2020
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3144 LACKLAND AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63116-2020
Country	:	US
Telephone Number	:	314-200-5486
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2022
Last Update Date	:	04/27/2022

Similar Medicare Providers

1104583772 — DARCI KAYLA KERN
Practice Location Address:

3144 LACKLAND AVE # 2F
SAINT LOUIS, MO
63116-2020

Practice Phone: 314-540-7913
Practice Fax:

1255318309 — DR. ANNAMARIE C DECASTRO M.D.
Practice Location Address:

2020 ROTH DR
SAINT LOUIS, MO
63131-3656

Practice Phone: 314-822-1005
Practice Fax:

1003962168 — MR. GEORGE LEROY ROBERTS LCSW
Practice Location Address:

932 BEACH AVE
SAINT LOUIS, MO
63112-2020

Practice Phone: 314-721-2180
Practice Fax:

1770755613 — DR. STEPHEN G VIOLA PH.D.
Practice Location Address:

2020 WASHINGTON AVE , #411
SAINT LOUIS, MO
63103-1650

Practice Phone: 314-588-8975
Practice Fax:

1821393968 — DR. KATHLEEN LILLIAN SERFAS OTD,OTR/L
Practice Location Address:

3437 CAROLINE ST , AHP, ROOM 2020
SAINT LOUIS, MO
63104-1111

Practice Phone: 314-977-8582
Practice Fax:

1871882100 — MRS. JULIA R KALB MS OTR/L
Practice Location Address:

3437 CAROLINE ST , SUITE 2020
SAINT LOUIS, MO
63104-1111

Practice Phone: 314-977-8580
Practice Fax:

Directions to “ MARIO MILLSAP ” 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.