Most Relevant Information
Provider Data
| NPI Number: | 1003653809 |
| Provider Name: | RONALD DRAINER PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 107472 |
Most Important Dates
| Enumeration Date: | 07/10/2024 |
| Last Updated: | 07/10/2024 |
Provider Practice Location
767 ARBOR HAVEN DR
BALLWIN
MO
630217357
Practice Location Phone/Fax
| Phone: | 3146605068 |
| Fax: |
Provider Mailing Location
767 ARBOR HAVEN DR
BALLWIN
MO
630217357
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |