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

Heather E Baniak, PT

Individual provider Physical Therapist · NPI 1316177637

Heather E Baniak, PT is a Physical Therapist in St. Charles, Missouri. Licensed in Missouri. Registered with an NPI since 2009.

Licensed in
MO
In the registry since
2009
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2454 W Clay
St. Charles, MO 63301-2548
Phone: (636) 949-3926
Fax: (636) 949-3928
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Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2009020457 (MO)

Record details

NPI number1316177637
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 21, 2009
Last updated in NPPESAugust 23, 2016
Mailing address607 Dewey Ave Nw, Ste 300, Grand Rapids, MI 49504-7335

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