Healthcare Provider Details
I. General information
NPI: 1669336608
Provider Name (Legal Business Name): PATHWAY PELVIC HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3819 4 MILE RD N STE B
TRAVERSE CITY MI
49686-9344
US
IV. Provider business mailing address
917 THIRD ST # 11
TRAVERSE CITY MI
49684-2173
US
V. Phone/Fax
- Phone: 989-293-5919
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251X0800X |
| Taxonomy | Orthopedic Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KAYLA
SAHR
Title or Position: OWNER
Credential: DPT
Phone: 989-293-5919