MEDICARE: MRS. ARIJANA DZIDZOVIC LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	2011034106	MO

General Provider Information

NPI Number	:	1023411394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ARIJANA DZIDZOVIC LMT

Provider Business Mailing Address
First Line	:	6973 WINONA AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63109-1175
Country	:	US
Telephone Number	:	314-299-3892
Fax Number	:

Provider Business Practice Location Address
First Line	:	6414 HAMPTON AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63109-3662
Country	:	US
Telephone Number	:	314-299-3892
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2014
Last Update Date	:	10/01/2014

Similar Medicare Providers

1376982090 — DR. BRANDON CORPENING PHARMD
Practice Location Address:

3662 PARK AVE STE 155
SAINT LOUIS, MO
63110-2512

Practice Phone: 314-897-5002
Practice Fax:

1649723081 — ST. LOUIS PROJECT CLUB
Practice Location Address:

3662 S BROADWAY S
SAINT LOUIS, MO
63118-4045

Practice Phone: 314-200-5707
Practice Fax: 314-499-4358

1275265167 — SSM HEALTH CARE ST LOUIS
Practice Location Address:

3662 PARK AVE STE 155
SAINT LOUIS, MO
63110-2512

Practice Phone: 855-847-3553
Practice Fax: 855-847-3558

1316140080 — JEREMY LYN ZEHR
Practice Location Address:

695 CENTRAL AVE STE 105
SAINT PETERSBURG, FL
33701-3662

Practice Phone: 727-492-2693
Practice Fax:

1528369402 — MS. BROOKE VANDOREN
Practice Location Address:

1483 DARTMOUTH DR
SAINT CHARLES, MO
63303-3662

Practice Phone: 618-210-2885
Practice Fax:

1366051559 — TAMARA DAVIS PTA
Practice Location Address:

3662 SW STERRICKER ST
PORT SAINT LUCIE, FL
34953-5034

Practice Phone: 609-464-0500
Practice Fax:

Directions to “ MRS. ARIJANA DZIDZOVIC LMT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.