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NPI Code Detail

MEDICARE: MR. TERRY LYNN SADLER P.T., DPT

MEDICARE:  MR. TERRY LYNN SADLER  P.T., DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1141463TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1663003OTHERTXMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376658609
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TERRY LYNN SADLER P.T., DPT
Provider Business Mailing Address
First Line : 4211 JOE RAMSEY BLVD E STE 100
Second Line :
City : GREENVILLE
State : TX
Zip : 75401-7856
Country : US
Telephone Number : 903-408-5834
Fax Number : 903-408-7704
Provider Business Practice Location Address
First Line : 5101 WELLINGTON ST UNIT B
Second Line :
City : GREENVILLE
State : TX
Zip : 75402-6040
Country : US
Telephone Number : 903-408-7760
Fax Number : 903-408-7762
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2006
Last Update Date : 03/24/2025

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Directions to “ MR. TERRY LYNN SADLER P.T., DPT” Practice Location

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