Provider Demographics
NPI:1073348678
Name:MCCLOUD, SARA DELANEY (DPT)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:DELANEY
Last Name:MCCLOUD
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11971 WESTLINE INDUSTRIAL DR STE 103
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63146-3231
Mailing Address - Country:US
Mailing Address - Phone:636-733-3330
Mailing Address - Fax:
Practice Address - Street 1:11971 WESTLINE INDUSTRIAL DR STE 103
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63146-3231
Practice Address - Country:US
Practice Address - Phone:636-733-3330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist