Most Relevant Information
Provider Data
| NPI Number: | 1003383266 |
| Provider Name: | LEXI KATHLEEN WISCH PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 2018023476 |
Most Important Dates
| Enumeration Date: | 10/25/2018 |
| Last Updated: | 01/25/2022 |
Provider Practice Location
401 HOLLY HILLS AVE
SAINT LOUIS
MO
631112410
Practice Location Phone/Fax
| Phone: | 3143535190 |
| Fax: | 3143537631 |
Provider Mailing Location
7634 W BRUNO AVE
SAINT LOUIS
MO
631172155
Provider Mailing Phone/Fax
| Phone: | 3092420220 |
| Fax: |