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NPI Code Detail

MEDICARE: SARA RIZZOLO SMITH

MEDICARE:   SARA  RIZZOLO SMITH
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
12251P0200XPediatric Physical Therapist2022018257MO

General Provider Information

NPI Number : 1689104531
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA RIZZOLO SMITH
Provider Business Mailing Address
First Line : 829 SW LEMANS LN
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64082-4618
Country : US
Telephone Number : 816-352-9461
Fax Number :
Provider Business Practice Location Address
First Line : 829 SW LEMANS LN
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64082-4618
Country : US
Telephone Number : 816-352-9461
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2017
Last Update Date : 07/21/2024

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Directions to “ SARA RIZZOLO SMITH ” Practice Location

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