| NPI | 1588276455 |
|---|---|
| Former Name | SARAH NICOLE THIES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06569) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2020031938) |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2024-04-03 |