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

Individual provider Physical Therapist · NPI 1154867042

Tish S. Kettler, MSPT is a Physical Therapist in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Illinois and Missouri.

Licensed in
IL, MO
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

7700 Clayton Rd Ste 311
Saint Louis, MO 63117-1328
Phone: (314) 283-6936
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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 114355 (MO)
Physical Therapist Taxonomy 225100000X · Licence 070.010801 (IL)

Record details

NPI number1154867042
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPT
Sole proprietorYes
NPI enumeratedJanuary 16, 2017
Last updated in NPPESJanuary 16, 2017

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