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

New Balance St Louis

Organization Durable Medical Equipment & Medical Supplies · NPI 1285872614

New Balance St Louis is a Durable Medical Equipment & Medical Supplies in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2009.

Licensed in
MO
In the registry since
2009
Specialties on file
2

Practice location Address checks out

11633 Olive Blvd
Saint Louis, MO 63141-7001
Phone: (314) 872-2929
Fax: (314) 872-2926
Show map & directions

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

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X · Licence B00029005 (MO)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence B00029005 (MO)

Record details

NPI number1285872614
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBrown's Enterprises Inc
Authorized official Jerry Cook — Certified Pedorthist · (314) 872-2929
NPI enumeratedJanuary 22, 2009
Last updated in NPPESMay 19, 2010
Mailing address11633 Olive Blvd, Saint Louis, MO 63141-7001

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