Healthcare Provider Details

I. General information

NPI: 1225185937
Provider Name (Legal Business Name): SARAH LORRAINE MEHRHOFF M.P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

906 OZARK ST
MARTHASVILLE MO
63357-1322
US

IV. Provider business mailing address

906 OZARK ST
MARTHASVILLE MO
63357-1322
US

V. Phone/Fax

Practice location:
  • Phone: 636-433-5314
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: