Individual
TAMERA D SANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1516 COLORADO ST, GOODLAND, KS 67735-2438
(785) 821-1233
Mailing address
1516 COLORADO ST, GOODLAND, KS 67735-2438
(785) 821-1233
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01035
KS
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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