Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Olympic Rehab Wellness and Pain Center PC

Organization Pain Medicine Physician · NPI 1669484119

Olympic Rehab Wellness and Pain Center PC provides Pain Medicine Physician services in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10420 Old Olive Street Rd Ste 305
Saint Louis, MO 63141-5914
Phone: (314) 849-1003
Fax: (314) 455-3469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X · Licence 111213 (MO)

Record details

NPI number1669484119
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexander Beyzer — Owner · (314) 849-1003
NPI enumeratedAugust 13, 2006
Last updated in NPPESJune 9, 2024
Certification dateJune 9, 2024
Mailing address10420 Old Olive Street Rd Ste 305, Saint Louis, MO 63141-5914

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