Healthcare Provider Details

I. General information

NPI: 1831795392
Provider Name (Legal Business Name): SASHAL HAGAN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2020
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1572 SAND HILL RD STE 101
CANDLER NC
28715-0470
US

IV. Provider business mailing address

408 HIGUERA ST STE 200
SAN LUIS OBISPO CA
93401-6135
US

V. Phone/Fax

Practice location:
  • Phone: 828-552-5342
  • Fax: 828-641-9303
Mailing address:
  • Phone: 805-788-0805
  • Fax: 805-788-0845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP19107
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: