Healthcare Provider Details

I. General information

NPI: 1093051146
Provider Name (Legal Business Name): NOW NURSE STAFFING THERAPY GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2012
Last Update Date: 12/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 LOCUST ST SUITE 909
SAINT LOUIS MO
63101-1334
US

IV. Provider business mailing address

1015 LOCUST ST SUITE 909
SAINT LOUIS MO
63101-1334
US

V. Phone/Fax

Practice location:
  • Phone: 314-436-3200
  • Fax: 314-436-3204
Mailing address:
  • Phone: 314-436-3200
  • Fax: 314-436-3204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: SHAWN D MONROE
Title or Position: DIRECTOR
Credential:
Phone: 314-436-3200