Provider Demographics
NPI:1942473046
Name:SADECKI, TERRI T (PT)
Entity Type:Individual
Prefix:MS
First Name:TERRI
Middle Name:T
Last Name:SADECKI
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 1:30355 HILLTOP DR
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-8753
Mailing Address - Country:US
Mailing Address - Phone:303-674-2682
Mailing Address - Fax:303-674-2682
Practice Address - Street 1:30355 HILLTOP DR
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-8753
Practice Address - Country:US
Practice Address - Phone:303-674-2682
Practice Address - Fax:303-674-2682
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL-72222251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics