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

Charlene Waters, PTA

Individual provider Physical Therapy Assistant · NPI 1518587658

Charlene Waters, PTA is a Physical Therapy Assistant in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2020
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone: (636) 388-1707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2019027412 (MO)

Record details

NPI number1518587658
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedApril 18, 2020
Last updated in NPPESApril 18, 2020
Certification dateApril 18, 2020

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