| Doctor Name: | SARAH PACK GRUPE |
| NPI Number: | 1184773418 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 111927 |
| Business Practice Address: | 3220 W 16th Street Sedalia, MO - 65301 |
| Business Phone Number: | 6608276800 |
| Business Fax Number: | 6608276810 |
| Mailing Address: | 3301 Berrywood Dr, Suite 204 COLUMBIA |
| State: | MO |
| Postal Code: | 652016517 |
| Phone Number: | 5734498771 |
| Fax Number: | 5734496563 |
| NPI Enumeration Date: | 01/09/2007 |
| NPI Last Update Date: | 03/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 111927 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |