Provider Demographics
NPI:1346332251
Name:SAHL, JOESPH GEORGE (PT)
Entity Type:Individual
Prefix:MR
First Name:JOESPH
Middle Name:GEORGE
Last Name:SAHL
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 12TH AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-3946
Mailing Address - Country:US
Mailing Address - Phone:817-719-7714
Mailing Address - Fax:
Practice Address - Street 1:1001 12TH AVE STE 201
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-3946
Practice Address - Country:US
Practice Address - Phone:817-719-7714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1038636225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX161858901Medicaid
TX1633232OtherFIRST HEALTH
TX89555TOtherBCBS