Individual
WYATT ROBERT SANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1460 NW OLYMPIC DR STE J, GRAIN VALLEY, MO 64029-7865
(816) 867-0066
Mailing address
1460 NW OLYMPIC DR STE J, GRAIN VALLEY, MO 64029-7865
(816) 867-0066
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2022018259
MO
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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