Healthcare Provider Details

I. General information

NPI: 1639099930
Provider Name (Legal Business Name): ASHLEY KROENER PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7070 CIRCLEVIEW DR
SAINT LOUIS MO
63123-1602
US

IV. Provider business mailing address

7070 CIRCLEVIEW DR
SAINT LOUIS MO
63123-1602
US

V. Phone/Fax

Practice location:
  • Phone: 314-882-3040
  • Fax:
Mailing address:
  • Phone: 314-882-3040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: