Provider Demographics
NPI:1407300684
Name:SIEWING, SARAH ROSE (DPT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ROSE
Last Name:SIEWING
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ROSE
Other - Last Name:MCGREE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:PO BOX 11629
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59719-1629
Mailing Address - Country:US
Mailing Address - Phone:406-522-7488
Mailing Address - Fax:406-522-7487
Practice Address - Street 1:3745 HARRISON AVE
Practice Address - Street 2:SUITE C
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-6808
Practice Address - Country:US
Practice Address - Phone:406-494-7050
Practice Address - Fax:406-494-1424
Is Sole Proprietor?:No
Enumeration Date:2016-08-05
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPTP-PT-LIC11124225100000X
MT11124225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist