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

Individual provider Physical Therapist · NPI 1841623071

Gina Marie Mydlo, DPT is a Physical Therapist in Ballwin, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2013
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

932 Kylemore Dr
Ballwin, MO 63021-7934
Phone: (636) 288-2198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 213028599 (MO)

Record details

NPI number1841623071
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedAugust 12, 2013
Last updated in NPPESJanuary 15, 2019

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