Healthcare Provider Details

I. General information

NPI: 1942872031
Provider Name (Legal Business Name): JACOB STERLING FRANCIS DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2021
Last Update Date: 07/16/2021
Certification Date: 07/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8340 N BROADWAY
SAINT LOUIS MO
63147-2333
US

IV. Provider business mailing address

9171 N SWAN CIR
BRENTWOOD MO
63144-1165
US

V. Phone/Fax

Practice location:
  • Phone: 314-385-9563
  • Fax:
Mailing address:
  • Phone: 660-888-1250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2021027639
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: