Provider Demographics
NPI:1831172147
Name:FLOYD, SARAH TORMALA (MSPT)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:TORMALA
Last Name:FLOYD
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:RUTH
Other - Last Name:TORMALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:1428 W MEYER RD
Mailing Address - Street 2:
Mailing Address - City:WENTZVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63385-3499
Mailing Address - Country:US
Mailing Address - Phone:636-327-3333
Mailing Address - Fax:636-327-6383
Practice Address - Street 1:1428 W MEYER RD
Practice Address - Street 2:
Practice Address - City:WENTZVILLE
Practice Address - State:MO
Practice Address - Zip Code:63385-3499
Practice Address - Country:US
Practice Address - Phone:636-327-3333
Practice Address - Fax:636-327-6383
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO118036225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist