Provider Demographics
NPI:1760645212
Name:PATTERSON, SARAH JANETTE (PT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JANETTE
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2008 MANNING PL
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE
Mailing Address - State:KY
Mailing Address - Zip Code:40031-8993
Mailing Address - Country:US
Mailing Address - Phone:502-222-9137
Mailing Address - Fax:
Practice Address - Street 1:6003 PLEASANT COLONY CT
Practice Address - Street 2:SUITE 3
Practice Address - City:CRESTWOOD
Practice Address - State:KY
Practice Address - Zip Code:40014-8678
Practice Address - Country:US
Practice Address - Phone:502-241-5597
Practice Address - Fax:502-241-6499
Is Sole Proprietor?:No
Enumeration Date:2008-07-04
Last Update Date:2008-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY004062225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist