Amber Christine Sellars, PTA

Individual provider Active NPI Physical Therapy Assistant · Saint Joseph, MO

NPI 1649470352 · NPPES record last updated Jul 20, 2007

Key facts

NPI
1649470352
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
2007021382 (MO)
Practice address
3002 N 18TH St
Saint Joseph, MO 64505-1872
Phone
(816) 364-4200
Fax
(816) 387-8847
NPI assigned
Jul 20, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2007021382MOMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2007021382 MO Yes

Addresses

Primary practice location

3002 N 18TH St
Saint Joseph, MO 64505-1872

Mailing address

3002 N 18TH St
Saint Joseph, MO 64505-1872
Phone (816) 364-4200

Other providers in Saint Joseph, MO

All providers in Saint Joseph, MO · Physical Therapy Assistant in Missouri

Sources for this page

Verify at the official NPI Registry.