Provider Demographics
NPI:1871719724
Name:FELKEL, SANDRA STRYKER (PT)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:STRYKER
Last Name:FELKEL
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 1:90 WATSON WAY
Mailing Address - Street 2:
Mailing Address - City:PAWLEYS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29585-7006
Mailing Address - Country:US
Mailing Address - Phone:843-237-1301
Mailing Address - Fax:
Practice Address - Street 1:90 WATSON WAY
Practice Address - Street 2:
Practice Address - City:PAWLEYS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29585-7006
Practice Address - Country:US
Practice Address - Phone:843-237-1301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC513225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist