Provider Demographics
NPI:1285637439
Name:COGAN-SAIS, KRISTAN MEGAN (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:KRISTAN
Middle Name:MEGAN
Last Name:COGAN-SAIS
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14803 LONGBRANCH DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78734-3218
Mailing Address - Country:US
Mailing Address - Phone:512-266-9156
Mailing Address - Fax:
Practice Address - Street 1:5656 BEE CAVE RD
Practice Address - Street 2:STE 101-B
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5280
Practice Address - Country:US
Practice Address - Phone:512-329-5806
Practice Address - Fax:512-347-0769
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1106714225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist