Provider Demographics
NPI:1447597380
Name:BARTLETT, SAGE
Entity Type:Individual
Prefix:
First Name:SAGE
Middle Name:
Last Name:BARTLETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SAGE
Other - Middle Name:
Other - Last Name:WEAVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:420 ELMINGTON AVE
Mailing Address - Street 2:901
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2552
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:420 ELMINGTON AVE
Practice Address - Street 2:901
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2552
Practice Address - Country:US
Practice Address - Phone:317-902-6243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist