Provider Demographics
NPI:1871841262
Name:SABUS, CARLA HELEN (PT)
Entity type:Individual
Prefix:
First Name:CARLA
Middle Name:HELEN
Last Name:SABUS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3901 RAINBOW
Mailing Address - Street 2:MAILSTOP 2002
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160
Mailing Address - Country:US
Mailing Address - Phone:913-588-6737
Mailing Address - Fax:913-588-4568
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:MS 2002
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160
Practice Address - Country:US
Practice Address - Phone:913-588-6736
Practice Address - Fax:913-588-4568
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS11-02211225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist