Type 2 organization · NPI 1013666403
LIFETIME REDESIGN OT, PLLC
207QG0300X · SAINT LOUIS, MO
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 207QG0300X | 207QG0300X | Primary |
| 101YP2500X | 101YP2500X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s