Mrs. Lynette M Dery, PT
Physical Therapist, Orthopedic in Saint Peters, Missouri
1518206283- Practice location
- 4800 Mexico RD Ste 104, Saint Peters, MO 63376-1666
- Phone
- 636-939-9540
- Fax
- 636-939-9886
- Last updated
- July 5, 2023
Lynette Marie Dery is a Physical Therapist, Orthopedic based in Saint Peters, MO. Lynette Marie Dery practices in Saint Peters, MO and has the professional credentials of PT. The NPI Number for Lynette Marie Dery is 1518206283 and holds a License No. 3614-024 (WI). The current practice location address for Lynette Marie Dery is 4800 Mexico RD Ste 104, Saint Peters, MO 63376-1666 and can be reached out via phone at 636-939-9540 and via fax at 636-939-9886.
Provider Profile Details
- NPI Number
- 1518206283
- Provider Name
- Lynette Marie Dery
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4800 Mexico RD Ste 104, Saint Peters, MO 63376-1666
- Phone Number
- 636-939-9540
- Fax Number
- 636-939-9886
- Primary Taxonomy
- Physical Therapist, Orthopedic · 2251X0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 31, 2013
- Last Update Date
- July 5, 2023
- Certification Date
- July 5, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4800 Mexico RD Ste 104
Saint Peters, MO 63376-1666 - City
- Saint Peters
- State
- Missouri
- Zip
- 63376-1666
- Phone Number
- 636-939-9540
- Fax Number
- 636-939-9886
Provider Business Mailing Address Details
- Address
- 625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395 - City
- Grand Rapids
- State
- MI
- Zip
- 49546-2395
- Phone Number
- 616-483-3780
- Fax Number
- 616-356-5001
License Information
- License Number (1)
- 3614-024
- License State (1)
- WI
- Taxonomy (1)
- Physical Therapist, Orthopedic · 2251X0800X
- License Number (2)
- 0005767
- License State (2)
- FL
- Taxonomy (2)
- Physical Therapist, Orthopedic · 2251X0800X
- License Number (3)
- 19857
- License State (3)
- MA
- Taxonomy (3)
- Physical Therapist, Orthopedic · 2251X0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapist, Orthopedic providers near Saint Peters, MO
View all Physical Therapist, Orthopedic providers in Saint Peters →Frequently Asked Questions
What is the NPI number of Mrs. Lynette M Dery, PT?
The NPI number of Mrs. Lynette M Dery, PT is 1518206283. It was assigned on January 31, 2013 and is currently active in the NPPES registry.
What is the specialty of Mrs. Lynette M Dery, PT?
Mrs. Lynette M Dery, PT is registered under the primary taxonomy Physical Therapist, Orthopedic (code 2251X0800X), licensed in WI under license number 3614-024.
Where does Mrs. Lynette M Dery, PT practice?
The practice location is 4800 Mexico RD Ste 104, Saint Peters, MO 63376-1666. The office can be reached at 636-939-9540 (phone) or 636-939-9886 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518206283 directly on the NPPES registry website.