Provider Demographics
NPI:1740830801
Name:SAUR, SEBASTIAN THOMAS (DPT)
Entity type:Individual
Prefix:
First Name:SEBASTIAN
Middle Name:THOMAS
Last Name:SAUR
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 1:10515 STELOR CT
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-9673
Mailing Address - Country:US
Mailing Address - Phone:317-985-5808
Mailing Address - Fax:
Practice Address - Street 1:10515 STELOR CT
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-9673
Practice Address - Country:US
Practice Address - Phone:317-985-5808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-19
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID6422225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist