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

Individual provider Physical Therapist · NPI 1750597779

Micah Bolander, MPT is a Physical Therapist in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2007
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

3520 Chouteau Ave
Saint Louis, MO 63103-2916
Phone: (314) 771-2100
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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 2006038245 (MO)

Record details

NPI number1750597779
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPT
Sole proprietorYes
NPI enumeratedMay 15, 2007
Last updated in NPPESJuly 8, 2007

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