Healthcare Provider Details

I. General information

NPI: 1487940037
Provider Name (Legal Business Name): SARAH E MEYER DPT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2011
Last Update Date: 08/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

790 N HIGHWAY 67
FLORISSANT MO
63031-5108
US

IV. Provider business mailing address

13537 BARRETT PARKWAY DR SUITE 105
BALLWIN MO
63021-5899
US

V. Phone/Fax

Practice location:
  • Phone: 314-972-1442
  • Fax: 314-972-1533
Mailing address:
  • Phone: 314-821-9126
  • Fax: 314-821-9142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2011020504
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: