MEDICARE: SANDRA ELLIOTT

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
1	222Q00000X	Developmental Therapist

General Provider Information

NPI Number	:	1700713088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA ELLIOTT

Provider Business Mailing Address
First Line	:	352 MASON HILL RD
Second Line	:
City	:	PINEVILLE
State	:	KY
Zip	:	40977-7899
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	352 MASON HILL RD
Second Line	:
City	:	PINEVILLE
State	:	KY
Zip	:	40977-7899
Country	:	US
Telephone Number	:	606-499-5262
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2026
Last Update Date	:	05/08/2026

Similar Medicare Providers

1124089644 — DR. TODD S. JAROSZ M.D.
Practice Location Address:

850 RIVERVIEW AVE
PINEVILLE, KY
40977-1452

Practice Phone: 606-654-4758
Practice Fax: 606-654-2658

1104200864 — GRACE RUNIONS APRN
Practice Location Address:

850 RIVERVIEW AVE
PINEVILLE, KY
40977-1452

Practice Phone: 606-337-4299
Practice Fax: 606-337-1128

1275192015 — PINEVILLE COMMUNITY HEALTH CENTER INC
Practice Location Address:

850 RIVERVIEW AVE
PINEVILLE, KY
40977-1452

Practice Phone: 606-337-3051
Practice Fax:

1811247547 — DIALYSIS SERVICES OF PINEVILLE LLC
Practice Location Address:

12904 ROBERT L. MADON BYPASS , SUITE 1
PINEVILLE, KY
40977-8063

Practice Phone: 606-337-1110
Practice Fax: 606-337-1190

1750380663 — DR. STEVEN KENNETH MORGAN M.D.
Practice Location Address:

222 E TENNESSEE AVE
PINEVILLE, KY
40977-1740

Practice Phone: 606-337-3123
Practice Fax: 606-337-9449

1821085440 — PINEVILLE COMMUNITY HOSPITAL ASSN INC.
Practice Location Address:

850 RIVERVIEW RD
PINEVILLE, KY
40977-1430

Practice Phone: 606-337-3051
Practice Fax: 606-337-2871

Directions to “ SANDRA ELLIOTT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.