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NPI Code Detail

MEDICARE: AIMEE M. CALVIN

MEDICARE: AIMEE M. CALVIN
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
1225100000XPhysical Therapist2002018241MO

General Provider Information

NPI Number : 1942374608
Entity Type Code : Individual
Provider Name (Legal Business Name) : AIMEE M. CALVIN
Provider Business Mailing Address
First Line : 929 FEE FEE RD
Second Line :
City : MARYLAND HEIGHTS
State : MO
Zip : 63043-3807
Country : US
Telephone Number : 314-469-9843
Fax Number :
Provider Business Practice Location Address
First Line : 1601 BRYAN RD
Second Line :
City : O FALLON
State : MO
Zip : 63368-4815
Country : US
Telephone Number : 314-469-9843
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2006
Last Update Date : 04/12/2008

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Directions to “ AIMEE M. CALVIN ” Practice Location

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