Individual
SABRE JEAN MENNINGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13420 BRIAR DR STE C, LEAWOOD, KS 66209-3434
(402) 852-6045
Mailing address
61299 705TH RD, BURCHARD, NE 68323-4039
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-07747
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
937262940572
BLUE CROSS
—
Enumeration date
02/04/2020
Last updated
04/22/2025
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