Provider Demographics
NPI:1821144049
Name:SADVAR, RICHARD A (PT MS)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:A
Last Name:SADVAR
Suffix:
Gender:M
Credentials:PT MS
Other - Prefix:
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Mailing Address - Street 1:535 YAMPA AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CRAIG
Mailing Address - State:CO
Mailing Address - Zip Code:81625-2611
Mailing Address - Country:US
Mailing Address - Phone:970-826-1552
Mailing Address - Fax:970-826-1553
Practice Address - Street 1:535 YAMPA AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:CRAIG
Practice Address - State:CO
Practice Address - Zip Code:81625-2611
Practice Address - Country:US
Practice Address - Phone:970-826-1552
Practice Address - Fax:970-826-1553
Is Sole Proprietor?:No
Enumeration Date:2007-01-28
Last Update Date:2014-02-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO7105225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COP21067Medicare UPIN
COC496028Medicare PIN