Provider Demographics
NPI:1851617476
Name:SAUNDERS, PATSY WHITT (LMT)
Entity Type:Individual
Prefix:MS
First Name:PATSY
Middle Name:WHITT
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:776 W MIDWAY RD
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34982-4203
Mailing Address - Country:US
Mailing Address - Phone:772-460-7999
Mailing Address - Fax:772-460-7995
Practice Address - Street 1:776 W MIDWAY RD
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34982-4203
Practice Address - Country:US
Practice Address - Phone:772-460-7999
Practice Address - Fax:772-460-7995
Is Sole Proprietor?:No
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA9894225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist