Provider Demographics
NPI:1689705980
Name:SADLER, CLIFTON ARTHUR (PT)
Entity Type:Individual
Prefix:MR
First Name:CLIFTON
Middle Name:ARTHUR
Last Name:SADLER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19527 COUNTRY VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-3084
Mailing Address - Country:US
Mailing Address - Phone:832-498-0434
Mailing Address - Fax:281-528-8440
Practice Address - Street 1:19527 COUNTRY VILLAGE DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-3084
Practice Address - Country:US
Practice Address - Phone:832-498-0434
Practice Address - Fax:281-528-8440
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1056075225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist