Provider Demographics
NPI:1376096701
Name:SAUVIGNE, SALLIE MARCHANT (PT)
Entity type:Individual
Prefix:
First Name:SALLIE
Middle Name:MARCHANT
Last Name:SAUVIGNE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SALLIE
Other - Middle Name:
Other - Last Name:MARCHANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:959 MERRIMON AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-2466
Mailing Address - Country:US
Mailing Address - Phone:828-417-7085
Mailing Address - Fax:828-417-7059
Practice Address - Street 1:959 MERRIMON AVE STE 101
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-2466
Practice Address - Country:US
Practice Address - Phone:828-417-7085
Practice Address - Fax:828-417-7059
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-02
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0014263225100000X
NCP17462225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist