Provider Demographics
NPI:1609275296
Name:SUNDERMEIR, KIAH (ATC)
Entity Type:Individual
Prefix:
First Name:KIAH
Middle Name:
Last Name:SUNDERMEIR
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 KAY SPRINGS CT
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-3432
Mailing Address - Country:US
Mailing Address - Phone:610-324-2561
Mailing Address - Fax:
Practice Address - Street 1:43600 MISSION BLVD
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-5847
Practice Address - Country:US
Practice Address - Phone:510-659-6501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist