Provider Demographics
NPI:1528930419
Name:GENT, EILEEN MICHELE (PT)
Entity type:Individual
Prefix:
First Name:EILEEN
Middle Name:MICHELE
Last Name:GENT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15459 LONG CASTLE FOREST CT
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-7447
Mailing Address - Country:US
Mailing Address - Phone:314-435-2709
Mailing Address - Fax:
Practice Address - Street 1:1020 WOODS MILL RD
Practice Address - Street 2:
Practice Address - City:TOWN AND COUNTRY
Practice Address - State:MO
Practice Address - Zip Code:63017-3106
Practice Address - Country:US
Practice Address - Phone:636-251-4944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005010787225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist