Provider Demographics
NPI:1922105212
Name:BUIS, SHARON G (PT)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:G
Last Name:BUIS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5823 N DOUGLAS HWY
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-9408
Mailing Address - Country:US
Mailing Address - Phone:907-789-4165
Mailing Address - Fax:907-789-5882
Practice Address - Street 1:641 W WILLOUGHBY AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-1731
Practice Address - Country:US
Practice Address - Phone:907-586-5951
Practice Address - Fax:907-586-8017
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1099225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist