| Doctor Name: | MS. TINA L PATTI |
| NPI Number: | 1316177132 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 2009019837 |
| Business Practice Address: | 2739 Brentwood Blvd Brentwood, MO - 631442713 |
| Business Phone Number: | 3149613804 |
| Business Fax Number: | 3149611147 |
| Mailing Address: | 13537 Barrett Parkway Drive, Suite 105 BALLWIN |
| State: | MO |
| Postal Code: | 630213790 |
| Phone Number: | 3148219126 |
| Fax Number: | 3148219142 |
| NPI Enumeration Date: | 07/15/2009 |
| NPI Last Update Date: | 09/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2009019837 |
| 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 |