Provider Demographics
NPI:1700080017
Name:SAGER, ROSE MARIE (MHS, PT)
Entity Type:Individual
Prefix:MRS
First Name:ROSE
Middle Name:MARIE
Last Name:SAGER
Suffix:
Gender:F
Credentials:MHS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8795 PORTAGE LAKE RD
Mailing Address - Street 2:
Mailing Address - City:MUNITH
Mailing Address - State:MI
Mailing Address - Zip Code:49259-9604
Mailing Address - Country:US
Mailing Address - Phone:517-596-3027
Mailing Address - Fax:
Practice Address - Street 1:FOOTE HEALTH SYSTEM
Practice Address - Street 2:205 N. EAST AVE.
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201
Practice Address - Country:US
Practice Address - Phone:517-780-7252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501300633225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist