| Mrs Deborah Lee Waugh, MSPT | |
|
322 Old State Rd, Ellisville, MO 63021-5917 | |
| (636) 449-1668 | |
| (636) 527-9543 |
| Full Name | Mrs Deborah Lee Waugh |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 322 Old State Rd, Ellisville, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194924597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2001027317 (Missouri) | Primary |
| Provider Name | Empowerme Rehabilitation Missouri Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1417479494 PECOS PAC ID: 9234402470 Enrollment ID: O20170908002930 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Deborah Lee Waugh, MSPT 7733 Forsyth Blvd, Suite 2300, Saint Louis, MO 63105-1817 Ph: (314) 863-7422 | Mrs Deborah Lee Waugh, MSPT 322 Old State Rd, Ellisville, MO 63021-5917 Ph: (636) 449-1668 |
Camryn Sprague, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15882 Clayton Rd, Ellisville, MO 63011 Phone: 636-484-8084 | |
Benjamin Jason Barton, M.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16075 Manchester Rd, Ellisville, MO 63011 Phone: 636-256-0880 Fax: 636-256-9153 | |
Matthew Dewitt, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15882 Clayton Rd, Ellisville, MO 63011 Phone: 636-484-8084 Fax: 636-484-8086 | |
Sheridan Mottet, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 322 Old State Rd, Ellisville, MO 63021 Phone: 636-227-3431 | |
Babar Enterprises Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1346 Clarkson Clayton Ctr, Ellisville, MO 63011 Phone: 636-227-5200 Fax: 636-227-5202 | |
Jamie Kocher, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16261 Westwoods Business Park, Ellisville, MO 63021 Phone: 314-614-8342 |