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

Mr. Timothy Jack Stansbury, RTR

Individual provider Radiography Radiologic Technologist · NPI 1104001833

Mr. Timothy Jack Stansbury, RTR is a Radiography Radiologic Technologist in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007

Practice location Address checks out

915 N Grand Blvd
Saint Louis, MO 63106-1621
Phone: (314) 652-4100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiography Radiologic Technologist (primary) Taxonomy 2471C3402X · Licence 376828 (MO)

Record details

NPI number1104001833
Entity typeIndividual (Type 1)
GenderMale
Credentials RTR
Sole proprietorNo
NPI enumeratedDecember 31, 2007
Last updated in NPPESDecember 31, 2007