Provider Demographics
NPI:1811208606
Name:WELHOFF, SARAH MARGARET (PT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MARGARET
Last Name:WELHOFF
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28504 S STATE ROUTE DD
Mailing Address - Street 2:
Mailing Address - City:HARRISONVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64701-8375
Mailing Address - Country:US
Mailing Address - Phone:816-380-7778
Mailing Address - Fax:
Practice Address - Street 1:2001 S JEFFERSON PKWY
Practice Address - Street 2:
Practice Address - City:HARRISONVILLE
Practice Address - State:MO
Practice Address - Zip Code:64701-3714
Practice Address - Country:US
Practice Address - Phone:816-380-4731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-25
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO01711225100000X
KS11-01321225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist