Provider Demographics
NPI:1013668631
Name:LOVEBERRY PHYSICAL THERAPY
Entity Type:Organization
Organization Name:LOVEBERRY PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:SAULSBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:816-718-7076
Mailing Address - Street 1:613 N WALNUT LN
Mailing Address - Street 2:
Mailing Address - City:LONE JACK
Mailing Address - State:MO
Mailing Address - Zip Code:64070-9304
Mailing Address - Country:US
Mailing Address - Phone:816-718-7076
Mailing Address - Fax:816-281-1802
Practice Address - Street 1:613 N WALNUT LN
Practice Address - Street 2:
Practice Address - City:LONE JACK
Practice Address - State:MO
Practice Address - Zip Code:64070-9304
Practice Address - Country:US
Practice Address - Phone:816-718-7076
Practice Address - Fax:816-281-1802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty