Sandusky, Kathyrn Elaine
Sandusky, Kathyrn Elaine is an individual health care provider with primary practice located at 17706 I-30 Ste 3, Benton AR 72015. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Sandusky, Kathyrn Elaine can be contacted via phone (501) 315-4414.Contact Information
Primary practice address
17706 I-30 Ste 3
Benton AR 72015
Phone: (501) 315-4414
Fax: (501) 315-3467
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT2453 | Arkansas |
Profile Details
| NPI number | 1053370700 |
|---|---|
| LBN Legal business name | Sandusky, Kathyrn Elaine |
| Credentials | MS PT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053370700 | NPPES |
| Arkansas | Other | 5W916 | BCBS |
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