Provider Demographics
NPI:1811072440
Name:SAUER, PHILIP A (PT)
Entity type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:A
Last Name:SAUER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2155 W HIGHWAY 89A STE 103
Mailing Address - Street 2:PO BOX 4203
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86336-5469
Mailing Address - Country:US
Mailing Address - Phone:928-282-3950
Mailing Address - Fax:928-282-6990
Practice Address - Street 1:2155 W HIGHWAY 89A STE 103
Practice Address - Street 2:
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86336-5469
Practice Address - Country:US
Practice Address - Phone:928-282-3950
Practice Address - Fax:928-282-6990
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0843225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ64133Medicare PIN
AZR10488Medicare UPIN