| Doctor Name: | MISS SARAH MARIE KOERPER |
| NPI Number: | 1093157117 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OT |
| License Number: | 2013023668 |
| Business Practice Address: | 801 Nw Saint Mary Dr Suite 102 Blue Springs, MO - 640142524 |
| Business Phone Number: | 8162296622 |
| Business Fax Number: | 8162296478 |
| Mailing Address: | 801 Nw Saint Mary Dr, Suite 102 BLUE SPRINGS |
| State: | MO |
| Postal Code: | 640142524 |
| Phone Number: | 8162296622 |
| Fax Number: | 8162296478 |
| NPI Enumeration Date: | 07/18/2013 |
| NPI Last Update Date: | 10/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | 2013023668 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |