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

Katelyn Ketchum, DPT

Individual provider Physical Therapist · NPI 1588478127

Katelyn Ketchum, DPT is a Physical Therapist in Private Practice in Wentzville, Missouri. Qualified in 2024, 2 years ago. Practices with Axes Physical Therapy LLC, a 113-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
2
Licensed in
MO
In the registry since
2025
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

718 Luetkenhaus Blvd
Wentzville, MO 63385-3515
Phone: (636) 445-5001
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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 2025010009 (MO)

Record details

NPI number1588478127
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 4, 2025
Last updated in NPPESMarch 28, 2025
Certification dateMarch 28, 2025
Mailing address647 Spirit Airpark West Dr Ste 101, Chesterfield, MO 63005-1032

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Axes Physical Therapy Llc — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wentzville