Provider Demographics
NPI:1932429651
Name:KRETMAN, SARAH KAY (PT, DPT, NCS)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:KAY
Last Name:KRETMAN
Suffix:
Gender:F
Credentials:PT, DPT, NCS
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:KAY
Other - Last Name:VANDENBERGHE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT, NCS
Mailing Address - Street 1:3337 THORNTON DR SW
Mailing Address - Street 2:
Mailing Address - City:PRIOR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55372-4339
Mailing Address - Country:US
Mailing Address - Phone:612-801-2433
Mailing Address - Fax:
Practice Address - Street 1:3337 THORNTON DR SW
Practice Address - Street 2:
Practice Address - City:PRIOR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55372-4339
Practice Address - Country:US
Practice Address - Phone:612-801-2433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-03
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36725225100000X
MN84452251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist