Provider Demographics
NPI:1669823308
Name:SAPPER, LAURA (ATC, SCAT, OTC)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:SAPPER
Suffix:
Gender:F
Credentials:ATC, SCAT, OTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 ANITA DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-6760
Mailing Address - Country:US
Mailing Address - Phone:207-332-7842
Mailing Address - Fax:
Practice Address - Street 1:23 ANITA DR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-6760
Practice Address - Country:US
Practice Address - Phone:207-332-7842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-23
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC20000071892255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer