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Contact Information

TYKERIA CUNNINGHAM
615 WILSHIRE DR
FLORISSANT, MO63033-3824
 Phone: 636-310-8127
 Fax: 636-310-8127
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

163WR0400X
Indicates primary specialty

NPI Profile & details for TYKERIA CUNNINGHAM · (Female)

NPI Number 1245192269
Status Active
Credentials
Entity Individual
Enumeration date 11/28/2025
Last updated 11/28/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • MO License # 2021024272
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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