Healthcare Provider Details

I. General information

NPI: 1194637579
Provider Name (Legal Business Name): JENNIFER SANKOORIKAL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 SW AUBURN RD
TOPEKA KS
66614-4843
US

IV. Provider business mailing address

3740 SW SPRINGCREEK LN
TOPEKA KS
66610-1221
US

V. Phone/Fax

Practice location:
  • Phone: 785-408-8437
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number4892
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: