Healthcare Provider Details

I. General information

NPI: 1962899336
Provider Name (Legal Business Name): SANDRA DEE ZEILER MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2015
Last Update Date: 05/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16155 NORTHUMBERLAND HIGHWAY
REEDVILLE VA
22539
US

IV. Provider business mailing address

4562 RICHMOND RD P.O. BOX # 1648
WARSAW VA
22572-3141
US

V. Phone/Fax

Practice location:
  • Phone: 804-220-2009
  • Fax: 804-220-2024
Mailing address:
  • Phone: 804-333-8222
  • Fax: 804-333-8228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305006117
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: