Healthcare Provider Details

I. General information

NPI: 1679409304
Provider Name (Legal Business Name): RELIANT LIFT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 N WARSON RD STE 132W
SAINT LOUIS MO
63132-1113
US

IV. Provider business mailing address

1515 N WARSON RD STE 132W
SAINT LOUIS MO
63132-1113
US

V. Phone/Fax

Practice location:
  • Phone: 314-619-2065
  • Fax:
Mailing address:
  • Phone: 314-619-2065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: SYDNEY J WALKER
Title or Position: OWNER
Credential: RN
Phone: 314-619-2065