Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Custom Aquatic Therapy LLC

Organization Physical Therapist · NPI 1851160816

Custom Aquatic Therapy LLC is a Physical Therapist in Saint Louis, Missouri. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1528 Locust St
Saint Louis, MO 63103-1816
Phone: (314) 313-3177
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1851160816
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Haefner — Owner · (314) 313-3177
NPI enumeratedJanuary 1, 2024
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024
Mailing address3951 Dover Pl, Saint Louis, MO 63116-3213

Other providers in Saint Louis