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NPI Code Detail

MEDICARE: MRS. MARSHA ANN SANDS RPT

MEDICARE: MRS. MARSHA ANN SANDS RPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251G0304XGeriatric Physical Therapist2003007555MO

General Provider Information

NPI Number : 1922343029
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARSHA ANN SANDS RPT
Provider Business Mailing Address
First Line : 2801 BURIAN CT
Second Line :
City : HIGH RIDGE
State : MO
Zip : 63049-2301
Country : US
Telephone Number : 314-288-5801
Fax Number :
Provider Business Practice Location Address
First Line : 850 COUNTRY MANOR LN
Second Line :
City : CREVE COEUR
State : MO
Zip : 63141-6651
Country : US
Telephone Number : 314-434-5900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2012
Last Update Date : 11/30/2012

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Directions to “ MRS. MARSHA ANN SANDS RPT” Practice Location

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