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

Michael Andrew Kasanofsky, PTA

Individual provider Physical Therapy Assistant · NPI 1538368600

Michael Andrew Kasanofsky, PTA is a Physical Therapy Assistant in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

12639 Old Tesson Rd Ste 120
Saint Louis, MO 63128-2786
Phone: (314) 842-3968
Fax: (314) 842-5236
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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 2002018250 (MO)

Record details

NPI number1538368600
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJuly 17, 2007
Last updated in NPPESJuly 17, 2007

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