Stacy D Sanders in Woodbury - Orthopedic

Stacy D Sanders - NPI 1063468767

Stacy D Sanders is a Orthopedic in Woodbury, Minnesota. Stacy D Sanders practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Stacy D Sanders is 1063468767. The last update date is 2017-09-07.

Stacy D Sanders's current location address is 2090 Woodwinds Dr, Woodbury, Minnesota. You can contact this provider via phone number 6519685801 and fax number 6519685899. The mailing address for Stacy D Sanders is 2090 Woodwinds Dr, Woodbury, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Stacy D Sanders
Address 2090 Woodwinds Dr, Woodbury, Minnesota
Phone Number 6519685801
Fax Number 6519685899
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1063468767
Provider Enumeration Date 2006-05-25
Last Updated Date 2017-09-07

Provider Mailing Address Detail

Address 2090 Woodwinds Dr
City Woodbury
State Minnesota (MN)
Post Code 551252522
Phone Number 6519685801
Fax Number 6519685899

Provider's Primary Taxonomy Detail

Speciality Orthopedic
Taxonomy 2251X0800X
Licence No 7341
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
650001460 MN MEDICARE
1063468767 MN --
P00326353 MN RAILROAD MEDICARE

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FAQs about Stacy D Sanders

What is the unique 10-digit identification code assigned to Stacy D Sanders by the Centers for Medicare & Medicaid Services?

The Stacy D Sanders has been issued the NPI (National Provider Identifier) 1063468767, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Stacy D Sanders?

The Stacy D Sanders is physically situated at 2090 Woodwinds Dr, in the city of Woodbury, state of MN, with the postal code 551252522.

What is Stacy D Sanders's area of expertise and its corresponding taxonomy classification?

The Stacy D Sanders's field of specialization is Orthopedic, and it falls under the taxonomy code 2251X0800X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1063468767 to Stacy D Sanders?

The Centers for Medicare & Medicaid Services assigned the 1063468767 to Stacy D Sanders on 2006-05-25.

When was the information related to Stacy D Sanders most recently updated or refreshed?

The details pertaining to the Stacy D Sanders, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-09-07.

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