| Doctor Name: | KRISTOPHER GORDON |
| NPI Number: | 1295138774 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 2014023754 |
| Business Practice Address: | 14825 N Outer 40 Rd Suite 300 Chesterfield, MO - 630172152 |
| Business Phone Number: | 6368121211 |
| Business Fax Number: | 6368120159 |
| Mailing Address: | 13537 Barrett Parkway Dr, Suite 105 BALLWIN |
| State: | MO |
| Postal Code: | 630215899 |
| Phone Number: | 3148219125 |
| Fax Number: | 3148219142 |
| NPI Enumeration Date: | 09/29/2014 |
| NPI Last Update Date: | 03/15/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2014023754 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |