Individual
OLIVIA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4590 N MAIZE RD STE 2, MAIZE, KS 67101-8835
(316) 202-0963
(316) 202-0964
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(726) 202-3039
(210) 978-5592
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14-04415
KS
225200000X
Physical Therapy Assistant
Primary
14-04415
KS
Other
Enumeration date
06/09/2026
Last updated
06/15/2026
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