Provider Demographics
NPI:1083927172
Name:SIGRIST, SARAH JEAN (PT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JEAN
Last Name:SIGRIST
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 1:962 UNIVERSITY AVE W
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-4703
Mailing Address - Country:US
Mailing Address - Phone:651-493-8581
Mailing Address - Fax:651-493-8583
Practice Address - Street 1:550 OSBORNE RD NE
Practice Address - Street 2:
Practice Address - City:FRIDLEY
Practice Address - State:MN
Practice Address - Zip Code:55432-2718
Practice Address - Country:US
Practice Address - Phone:763-236-3000
Practice Address - Fax:612-262-7980
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-19
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8544225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist