Provider Demographics
NPI:1194051078
Name:THUMMEL, SABRINA MARIE (MT)
Entity type:Individual
Prefix:MRS
First Name:SABRINA
Middle Name:MARIE
Last Name:THUMMEL
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9745 N K92 HWY
Mailing Address - Street 2:
Mailing Address - City:MC LOUTH
Mailing Address - State:KS
Mailing Address - Zip Code:66054-4257
Mailing Address - Country:US
Mailing Address - Phone:913-796-6652
Mailing Address - Fax:
Practice Address - Street 1:9745 N K92 HWY
Practice Address - Street 2:
Practice Address - City:MC LOUTH
Practice Address - State:KS
Practice Address - Zip Code:66054-4257
Practice Address - Country:US
Practice Address - Phone:913-796-6652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-27
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSNONE225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist