Provider Demographics
NPI:1841696275
Name:MARTINDALE, KARA SAYGER (DPT)
Entity type:Individual
Prefix:DR
First Name:KARA
Middle Name:SAYGER
Last Name:MARTINDALE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:KARA
Other - Middle Name:NICHOLE
Other - Last Name:SAYGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:605 HILLCREST RD
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-6306
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2524 W WACKERLY ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640
Practice Address - Country:US
Practice Address - Phone:989-423-1240
Practice Address - Fax:989-423-1243
Is Sole Proprietor?:No
Enumeration Date:2014-11-12
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501013524225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5501013524OtherPT LICENSE