MEDICARE: ADVANCE MEDICAL SERVICES WELLNESS CENTER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	208100000X	Physical Medicine & Rehabilitation Physician
2	224Z00000X	Occupational Therapy Assistant
3	225100000X	Physical Therapist
4	2251G0304X	Geriatric Physical Therapist
5	2251H1200X	Hand Physical Therapist
6	225X00000X	Occupational Therapist
7	163W00000X	Registered Nurse

General Provider Information

NPI Number	:	1700800364
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCE MEDICAL SERVICES WELLNESS CENTER

Provider Business Mailing Address
First Line	:	2601 WHITTIER ST
Second Line	:	THE WELLNESS CENTER
City	:	SAINT LOUIS
State	:	MO
Zip	:	63113-2957
Country	:	US
Telephone Number	:	314-535-4040
Fax Number	:	314-535-4041

Provider Business Practice Location Address
First Line	:	2601 WHITTIER ST
Second Line	:	THE WELLNESS CENTER
City	:	SAINT LOUIS
State	:	MO
Zip	:	63113-2957
Country	:	US
Telephone Number	:	314-535-4040
Fax Number	:	314-535-4041

Authorized Official
Title or Position	:	CFO
Name	:	MRS. MARCIA HILTON-KYER
Credential	:	MBA
Telephone Number	:	314-535-4040

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	09/11/2025

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