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

Individual provider Physical Therapy Assistant · NPI 1346904646

Mikkaela Suntrup, PTA is a Physical Therapy Assistant in Florissant, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2021
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

3501 Dunn Rd Ste 108
Florissant, MO 63033-6762
Phone: (314) 972-8070
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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 2016025193 (MO)

Record details

NPI number1346904646
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedOctober 24, 2021
Last updated in NPPESOctober 24, 2021
Certification dateOctober 24, 2021

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