Sarah Kealey Haeusser, DPT

Individual provider Active NPI Orthopedic Physical Therapist · Weldon Spring, MO

NPI 1942547716 · NPPES record last updated Nov 1, 2021

Key facts

NPI
1942547716
Entity type
Individual (NPI type 1)
Primary specialty
Orthopedic Physical Therapist 2251X0800X
License
2011020353 (MO)
Practice address
78 Gillette Field Close
Weldon Spring, MO 63304-0527
Phone
(314) 517-7669
NPI assigned
Jan 13, 2013
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)
Yes

State licenses

LicenseStateTypeSpecialty
11-04315KSMDOrthopedic Physical Therapist
2011020353MOMDOrthopedic Physical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 2011020353 MO Yes
Orthopedic Physical Therapist 2251X0800X 11-04315 KS

Addresses

Primary practice location

78 Gillette Field Close
Weldon Spring, MO 63304-0527

Mailing address

12143 Bent Brook Rd Ste 100
Saint Louis, MO 63122-2114
Phone (913) 231-3785

Other providers in Weldon Spring, MO

All providers in Weldon Spring, MO · Orthopedic Physical Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.