Provider Demographics
NPI:1730482746
Name:SAUER, NEIL WILLIAM (DPT)
Entity Type:Individual
Prefix:MR
First Name:NEIL
Middle Name:WILLIAM
Last Name:SAUER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17615 SWAN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:HEMLOCK
Mailing Address - State:MI
Mailing Address - Zip Code:48626-9793
Mailing Address - Country:US
Mailing Address - Phone:989-714-3183
Mailing Address - Fax:
Practice Address - Street 1:17615 SWAN CREEK RD
Practice Address - Street 2:
Practice Address - City:HEMLOCK
Practice Address - State:MI
Practice Address - Zip Code:48626-9793
Practice Address - Country:US
Practice Address - Phone:989-714-3183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501012987225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist