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NPI Code Detail

MEDICARE: MRS. SARAH GRACE SPLATTSTOESSER PTA

MEDICARE: MRS. SARAH GRACE SPLATTSTOESSER PTA
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
1225200000XPhysical Therapy Assistant14-03285KS

General Provider Information

NPI Number : 1437755998
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARAH GRACE SPLATTSTOESSER PTA
Provider Business Mailing Address
First Line : 1161 S GRANT AVE
Second Line :
City : LIBERAL
State : KS
Zip : 67901-4505
Country : US
Telephone Number : 308-850-7456
Fax Number :
Provider Business Practice Location Address
First Line : 2160 ZINNIA LN
Second Line :
City : LIBERAL
State : KS
Zip : 67901-2042
Country : US
Telephone Number : 620-624-3831
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2020
Last Update Date : 12/09/2020

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Directions to “ MRS. SARAH GRACE SPLATTSTOESSER PTA” Practice Location

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