Anita Detchemendy

NURSE PRACTITIONER

15425 Manchester Rd

Suite 28

Ballwin, MO 630113077

(636) 220-6969

**NPI:** 1225586936

**Med School:** OTHER

**Experience:** 10 years

**Telehealth:** Yes

**Medicare Assignment:** Yes

Practice Locations (2)

PHYSICAL THERAPY SPINE AND SPORTS MEDICINE LLC

15425 Manchester Rd, Suite 28
Ballwin, MO 630113077

Phone: (636) 220-6969

**Group ID:** 3173654936 | **Group Size:** 100 members

CLINIC OF INTERNAL MEDICINE LLC

121 Saint Lukes Ctr Dr, Suite 506
Chesterfield, MO 630173519

Phone: (314) 576-8102

**Group ID:** 6305870361 | **Group Size:** 5 members

ST LUKE'S DES PERES HOSPITAL Type: Hospital
2345 DOUGHERTY FERRY ROAD
Phone: (314) 966-9100
Medicare CCN: 260176 View Profile

ST LUKES HOSPITAL Type: Hospital
232 S WOODS MILL RD
Phone: (314) 434-1500
Medicare CCN: 260179 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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