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

Individual provider Physical Therapy Assistant · NPI 1174249700

Feruza Yurdanidze is a Physical Therapy Assistant in Ballwin, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2022
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Practice location Address checks out

1 Meramec Bluffs Dr
Ballwin, MO 63021-3309
Phone: (636) 861-0600
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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 2022013533 (MO)

Record details

NPI number1174249700
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 14, 2022
Last updated in NPPESOctober 14, 2022
Certification dateOctober 14, 2022

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