Provider Demographics
NPI:1437650918
Name:KISSEL, SARAH (DPT)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:KISSEL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 SOUTH BLVD E
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-5605
Mailing Address - Country:US
Mailing Address - Phone:248-267-5650
Mailing Address - Fax:
Practice Address - Street 1:1555 E SOUTH BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307
Practice Address - Country:US
Practice Address - Phone:248-267-5650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-21
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist