Provider Demographics
NPI:1194910497
Name:SINGH, SAUMYA A (PT)
Entity type:Individual
Prefix:MRS
First Name:SAUMYA
Middle Name:A
Last Name:SINGH
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 1:5611 W 134TH TER
Mailing Address - Street 2:APT#1718
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66209-4031
Mailing Address - Country:US
Mailing Address - Phone:214-405-7464
Mailing Address - Fax:
Practice Address - Street 1:5611 W 134TH TER
Practice Address - Street 2:APT#1718
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66209-4031
Practice Address - Country:US
Practice Address - Phone:214-405-7464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007012508225100000X
MI5501012664225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist