ICONIC SERVICES INC
NPI 1750872354
Family Medicine - Sports Medicine in Saint Louis, MO

Q: What is Iconic Services Inc's NPI number?

The NPI number for Iconic Services Inc is 1750872354. It was assigned to this organization in the NPPES registry on May 21, 2018.

Q: What is Iconic Services Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Active since May 21, 2018

4625 LINDELL BLVD STE 200, SAINT LOUIS, MO 63108(314) 437-8932(888) 749-2228 Get Directions Write a Review

NPPES record last updated: May 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Iconic Services Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ICONIC SERVICES INC (NPI 1750872354) is a healthcare organization registered as a sports medicine in Saint Louis, Missouri and active in the NPI registry since May 2018. The organization lists Christine B Cordero, Manager, as its authorized official.

NPPES Registry Identity

NPI1750872354

Entity TypeOrganization

Primary Taxonomy207QS0010X

Legal Business NameICONIC SERVICES INC

Location Address4625 LINDELL BLVD STE 200Saint Louis, MO 63108-3729

Mailing Address4625 Lindell Blvd Ste 200Saint Louis, MO 63108-3729 · (314) 437-8932 · Fax (888) 749-2228

Phone(314) 437-8932

Fax(888) 749-2228

Organization SubpartNo

Authorized OfficialChristine B CorderoManager · (314) 437-8932

Enumeration DateMay 21, 2018

✔ NPI 1750872354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

4625 LINDELL BLVD STE 200, Saint Louis, MO 63108

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARA K BLACKWOOD

Counselor (Mental Health)