Provider Demographics
NPI:1457612129
Name:SAUTER, NEIL J (DPT)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:J
Last Name:SAUTER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5050 W 36TH ST. #100
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416
Mailing Address - Country:US
Mailing Address - Phone:952-925-4085
Mailing Address - Fax:
Practice Address - Street 1:5050 W 36TH ST STE 100
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-5470
Practice Address - Country:US
Practice Address - Phone:952-925-4085
Practice Address - Fax:952-925-1394
Is Sole Proprietor?:No
Enumeration Date:2012-05-30
Last Update Date:2017-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI12008225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist