Provider Demographics
NPI:1033165444
Name:DROESSLER, SARAH JEAN (MPT)
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:JEAN
Last Name:DROESSLER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:JEAN
Other - Last Name:VERHAGEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:3262 WATERLEAF LN
Mailing Address - Street 2:
Mailing Address - City:HARTLAND
Mailing Address - State:WI
Mailing Address - Zip Code:53029-8334
Mailing Address - Country:US
Mailing Address - Phone:414-517-6831
Mailing Address - Fax:
Practice Address - Street 1:2350 N LAKE DR STE 501
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53211-4528
Practice Address - Country:US
Practice Address - Phone:414-298-7171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI9909-024225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI40443600Medicaid