Healthcare Provider Details

I. General information

NPI: 1578855292
Provider Name (Legal Business Name): ANDREA L GETTMAN DPT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANDREA L MESSING DPT, OTR/L

II. Dates (important events)

Enumeration Date: 05/13/2011
Last Update Date: 05/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

951 WATERBURY FALLS DR
O FALLON MO
63368-2202
US

IV. Provider business mailing address

2315 HIGHWAY K
O FALLON MO
63368-8659
US

V. Phone/Fax

Practice location:
  • Phone: 636-336-0300
  • Fax: 636-336-0297
Mailing address:
  • Phone: 636-265-1505
  • Fax: 636-266-2112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2011003187
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2011007122
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: