Provider Demographics
NPI:1427630797
Name:MUNIE, ZOE BETH (DPT)
Entity type:Individual
Prefix:DR
First Name:ZOE
Middle Name:BETH
Last Name:MUNIE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:ZOE
Other - Middle Name:BETH
Other - Last Name:SENSINTAFFAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:12048 TESSON FERRY RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63128-1727
Mailing Address - Country:US
Mailing Address - Phone:314-849-4455
Mailing Address - Fax:
Practice Address - Street 1:12048 TESSON FERRY RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63128-1727
Practice Address - Country:US
Practice Address - Phone:314-849-4455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-26
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016022804225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist