Sandra Faye Preuss, P.T.A.

Individual provider Active NPI Physical Therapy Assistant · Stuttgart, KS

NPI 1952500985 · NPPES record last updated Jul 11, 2007

Key facts

NPI
1952500985
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
14-00473 (KS)
Practice address
512 Chicago Ave
Stuttgart, KS 67661-9553
Phone
(785) 543-5525
Fax
(785) 543-5220
NPI assigned
Jul 11, 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
14-00473KSMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 14-00473 KS Yes

Addresses

Primary practice location

512 Chicago Ave
Stuttgart, KS 67661-9553

Mailing address

512 Chicago Ave
Stuttgart, KS 67661-9553
Phone (785) 543-5525

Sources for this page

Verify at the official NPI Registry.