Healthcare Provider Details

I. General information

NPI: 1043563489
Provider Name (Legal Business Name): SARA KEHRER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2012
Last Update Date: 10/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3035 NEW GERMANY RD
EBENSBURG PA
15931-3516
US

IV. Provider business mailing address

2822 CHESTNUT RIDGE DR
PITTSBURGH PA
15205-4728
US

V. Phone/Fax

Practice location:
  • Phone: 814-472-1100
  • Fax: 814-472-1105
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT022404
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: