Provider Demographics
NPI:1780957480
Name:KURTZ, SARAH-ANNE (PT, DPT)
Entity type:Individual
Prefix:
First Name:SARAH-ANNE
Middle Name:
Last Name:KURTZ
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:SARAH-ANNE
Other - Middle Name:
Other - Last Name:CZYZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 306393
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37230-6393
Mailing Address - Country:US
Mailing Address - Phone:615-373-1350
Mailing Address - Fax:615-373-7116
Practice Address - Street 1:627 S. JAMES CAMPBELL BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-4392
Practice Address - Country:US
Practice Address - Phone:931-398-2288
Practice Address - Fax:931-218-2841
Is Sole Proprietor?:No
Enumeration Date:2012-02-12
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH012785225100000X
TN12468225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist