Provider Demographics
NPI:1427796267
Name:JOST, SANDY (PHD)
Entity type:Individual
Prefix:
First Name:SANDY
Middle Name:
Last Name:JOST
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21112 THURMAN BEND RD
Mailing Address - Street 2:
Mailing Address - City:SPICEWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:78669-1759
Mailing Address - Country:US
Mailing Address - Phone:972-322-7782
Mailing Address - Fax:
Practice Address - Street 1:21112 THURMAN BEND RD
Practice Address - Street 2:
Practice Address - City:SPICEWOOD
Practice Address - State:TX
Practice Address - Zip Code:78669-1759
Practice Address - Country:US
Practice Address - Phone:972-322-7782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-23
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach