Healthcare Provider Details

I. General information

NPI: 1356402846
Provider Name (Legal Business Name): SHOWME AQUATICS & FITNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2085 BLUESTONE DR STE 203
SAINT CHARLES MO
63303-6727
US

IV. Provider business mailing address

2085 BLUESTONE DR STE 203
SAINT CHARLES MO
63303-6727
US

V. Phone/Fax

Practice location:
  • Phone: 636-896-0999
  • Fax: 636-896-0998
Mailing address:
  • Phone: 636-896-0999
  • Fax: 636-896-0998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: KATIE RHOADES
Title or Position: PRESIDENT, CEO
Credential:
Phone: 636-896-0999