Healthcare Provider Details

I. General information

NPI: 1588573760
Provider Name (Legal Business Name): CONTINUUM PHYSIO FITNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10627 MIDWEST INDUSTRIAL BLVD
SAINT LOUIS MO
63132-1220
US

IV. Provider business mailing address

10627 MIDWEST INDUSTRIAL BLVD
SAINT LOUIS MO
63132-1220
US

V. Phone/Fax

Practice location:
  • Phone: 314-705-6351
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NICOLE GEBHARDT
Title or Position: PHYSICAL THERAPIST
Credential:
Phone: 314-705-6351