Provider Demographics
NPI:1750929378
Name:THE HEALTHY FOOT LLC
Entity type:Organization
Organization Name:THE HEALTHY FOOT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PODIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:717-203-6377
Mailing Address - Street 1:2819 WILLOW STREET PIKE
Mailing Address - Street 2:SUITE B
Mailing Address - City:WILLOW STREET
Mailing Address - State:PA
Mailing Address - Zip Code:17584-9495
Mailing Address - Country:US
Mailing Address - Phone:703-727-8972
Mailing Address - Fax:717-327-4666
Practice Address - Street 1:2819 WILLOW STREET PIKE
Practice Address - Street 2:SUITE B
Practice Address - City:WILLOW STREET
Practice Address - State:PA
Practice Address - Zip Code:17584-1758
Practice Address - Country:US
Practice Address - Phone:717-203-6377
Practice Address - Fax:717-327-4666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-13
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty