Provider Demographics
NPI:1588098941
Name:SUNDY, KERRI M (PT, MSPT)
Entity type:Individual
Prefix:
First Name:KERRI
Middle Name:M
Last Name:SUNDY
Suffix:
Gender:F
Credentials:PT, MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 S RONEY ST
Mailing Address - Street 2:
Mailing Address - City:CARL JUNCTION
Mailing Address - State:MO
Mailing Address - Zip Code:64834-9402
Mailing Address - Country:US
Mailing Address - Phone:417-649-7026
Mailing Address - Fax:417-649-6594
Practice Address - Street 1:206 S RONEY ST
Practice Address - Street 2:
Practice Address - City:CARL JUNCTION
Practice Address - State:MO
Practice Address - Zip Code:64834-9402
Practice Address - Country:US
Practice Address - Phone:417-649-7026
Practice Address - Fax:417-649-6594
Is Sole Proprietor?:No
Enumeration Date:2013-08-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO110045225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist