Provider Demographics
NPI:1508107012
Name:SAUERS, BRANDI ALISA (DPT)
Entity Type:Individual
Prefix:MS
First Name:BRANDI
Middle Name:ALISA
Last Name:SAUERS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2709 US HIGHWAY 17
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-3796
Mailing Address - Country:US
Mailing Address - Phone:912-826-5450
Mailing Address - Fax:912-826-6413
Practice Address - Street 1:2709 US HIGHWAY 17
Practice Address - Street 2:SUITE 2A
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-3796
Practice Address - Country:US
Practice Address - Phone:912-826-5450
Practice Address - Fax:912-826-6413
Is Sole Proprietor?:No
Enumeration Date:2013-03-07
Last Update Date:2014-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT0103202251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics