Healthcare Provider Details

I. General information

NPI: 1235238247
Provider Name (Legal Business Name): COMPREHENSIVE REHABILITATION AND ERGONOMICS SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7501 BIG BEND BLVD
SAINT LOUIS MO
63119-2103
US

IV. Provider business mailing address

7501 BIG BEND BLVD
SAINT LOUIS MO
63119-2103
US

V. Phone/Fax

Practice location:
  • Phone: 314-647-4880
  • Fax: 314-279-1359
Mailing address:
  • Phone: 314-647-4880
  • Fax: 314-279-1359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number01347
License Number StateMO

VIII. Authorized Official

Name: MS. JULIET MARIE HEREFORD
Title or Position: PHYSICAL THERAPIST PRESIDENT
Credential: PT
Phone: 314-647-4880