Provider Demographics
NPI:1508442898
Name:TADROS, SASHA (DPT)
Entity Type:Individual
Prefix:
First Name:SASHA
Middle Name:
Last Name:TADROS
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 1:500 LANIER AVE W STE 303
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-7636
Mailing Address - Country:US
Mailing Address - Phone:770-716-8885
Mailing Address - Fax:770-716-7425
Practice Address - Street 1:965 PIEDMONT RD NE STE 200
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-5493
Practice Address - Country:US
Practice Address - Phone:770-575-2212
Practice Address - Fax:770-575-2547
Is Sole Proprietor?:No
Enumeration Date:2021-03-18
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist