CRYSTAL CUNETTO (NPI# 1811447840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811447840 |
| Entity Type | Individual |
| Full Name | CRYSTAL CUNETTO |
| Practice Address |
1114 Ridgelynn Dr Saint Louis MO 63124-1220 |
| Practice Telephone | 3143748890 |
| Mailing Telephone | 3143748890 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
R1236 | MO | Ambulatory Health Care Facilities |
| N | 172M00000X | Mechanotherapist | R1236 | MO | Other Service Providers |
| Street Address |
1114 RIDGELYNN DR |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63124-1220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174174775 | Nicholas Simpson | Nurse Practitioner | 8857 Ladue Road, St. Louis, MO 63124 | 2019-09-25 |
| 1144774647 | Carolyn Ashley Myles Versical | Psychologist | 26 Godwin Ln, Saint Louis, MO 63124 | 2016-08-12 |
| 1740669373 | Victor's Home Care Cds, LLC | Hospice Care, Community Based | 8420 Delmar Blvd, Ste 507, St. Louis, MO 63124 | 2015-05-28 |
| 1851784490 | Bryan Watanabe Dds Ladue Dental Group, PC | Dentist | 8859 Ladue Road, Ladue, MO 63124 | 2015-03-06 |
| 1689072324 | Ladue Internal Medicine, LLC | Internal Medicine | 8857 A Ladue Rd., Ladue, MO 63124 | 2014-12-11 |
| 1043557150 | Ronald Nathan Riner | Internal Medicine | 9847 Waterbury Drive, St. Louis, MO 63124 | 2013-01-09 |
| 1295099638 | David Stuart Sonderman | Pediatrics | 8888 Ladue Road, Ste 100, Saint Louis, MO 63124 | 2012-06-29 |
| 1255637799 | Kyu S Her | Pediatrics | 624 Haverford Road, St. Louis, MO 63124 | 2011-02-01 |
| 1194983833 | Roberte Kuhlman | Orthopaedic Surgery | 12 Upper Barnes, St Louis, MO 63124 | 2008-05-29 |
| 1467507673 | Mark William Aylward | Dentist | 9216 Clayton Road, Suite 118, St Louis, MO 63124 | 2007-01-25 |
| Find all providers in zip 63124 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053820175 | Prorehab PC | Clinic/Center | 11525 Olde Cabin Rd Ste 1, Saint Louis, MO 63141-7146 | 2017-09-20 |
| 1720429558 | Missouri Physical Therapy LLC | Clinic/Center | 9751 Clayton Rd, Saint Louis, MO 63124-1503 | 2013-07-09 |
| 1205067857 | Therapeutic Innovations Lc | Clinic/Center | 563 Cliff Cave Rd, Saint Louis, MO 63129-4415 | 2009-07-30 |
| 1639200074 | Occupational Health Centers of Kansas Pa | Clinic/Center | 1617 S 3rd St, Saint Louis, MO 63104-3839 | 2007-03-08 |
| 1629109087 | Occupational Health Centers of Kansas Pa | Clinic/Center | 8340 N Broadway, Saint Louis, MO 63147-2333 | 2007-03-08 |
| 1194778183 | Prorehab, PC | Clinic/Center | 3726 S Kingshighway Blvd, Saint Louis, MO 63109-1800 | 2006-05-18 |
| 1124071238 | Prorehab, PC | Clinic/Center | 107 Concord Plaza Shopping Ctr, Saint Louis, MO 63128-1307 | 2006-05-18 |
| 1336122266 | Brentwood Physical Therapy Limited | Clinic/Center | 2558 S Brentwood Blvd, Saint Louis, MO 63144-2309 | 2005-11-23 |
| 1699269928 | Physical Therapy Collective, LLC | Clinic/Center | 4642 Shenandoah Ave, Saint Louis, MO 63110-3424 | 2018-06-20 |
| 1518476548 | Prorehab PC | Clinic/Center | 12855 N 40 Dr Ste 375, Saint Louis, MO 63141-8657 | 2017-09-21 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63124 |
Please comment or provide details below to improve the information on CRYSTAL CUNETTO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.