Provider Demographics
NPI:1023163458
Name:BEERS, SANDRA DAWN (PT)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:DAWN
Last Name:BEERS
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 1:4552 S HANDLEY AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67217-4730
Mailing Address - Country:US
Mailing Address - Phone:316-214-2894
Mailing Address - Fax:316-524-7066
Practice Address - Street 1:6700 E 45TH ST N
Practice Address - Street 2:
Practice Address - City:BEL AIRE
Practice Address - State:KS
Practice Address - Zip Code:67226-8817
Practice Address - Country:US
Practice Address - Phone:316-744-2020
Practice Address - Fax:316-771-6583
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1103594225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist