Wyatt Robert Sander, PT, DPT | |
1460 Nw Olympic Dr Ste J, Grain Valley, MO 64029-7865 | |
(816) 867-0066 | |
Not Available |
Full Name | Wyatt Robert Sander |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 2 Years |
Location | 1460 Nw Olympic Dr Ste J, Grain Valley, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497484554 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2022018259 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthopaedic And Sports Medicine Center Llp | 4284532748 | 22 |
Provider Name | Orthopaedic And Sports Medicine Center Llp |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174520787 PECOS PAC ID: 4284532748 Enrollment ID: O20031222000782 |
Mailing Address | Practice Location Address |
---|---|
Wyatt Robert Sander, PT, DPT 1460 Nw Olympic Dr Ste J, Grain Valley, MO 64029-7865 Ph: (816) 867-0066 | Wyatt Robert Sander, PT, DPT 1460 Nw Olympic Dr Ste J, Grain Valley, MO 64029-7865 Ph: (816) 867-0066 |
Stacee Newsom, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 640 Nw Jefferson St, Grain Valley, MO 64029 Phone: 816-726-7337 Fax: 816-847-0218 | |
Troy H Brown, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 638 Nw Jefferson St, Grain Valley, MO 64029 Phone: 816-836-0800 Fax: 816-836-3229 | |
Alexa Gabrielle Hernandez, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Sw Eagles Pkwy, Grain Valley, MO 64029 Phone: 816-265-1170 | |
Claire Sybesma, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Sw Eagles Pkwy, Grain Valley, MO 64029 Phone: 816-265-1170 | |
Kayla Kocimski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Sw Eagles Pkwy, Grain Valley, MO 64029 Phone: 816-265-1170 | |
Caitlin Robinson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 640 Nw Jefferson St, Grain Valley, MO 64029 Phone: 816-726-7337 |