Healthcare Provider Details

I. General information

NPI: 1376658609
Provider Name (Legal Business Name): TERRY LYNN SADLER P.T., DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5101 WELLINGTON ST UNIT B
GREENVILLE TX
75402-6040
US

IV. Provider business mailing address

4211 JOE RAMSEY BLVD E STE 100
GREENVILLE TX
75401-7856
US

V. Phone/Fax

Practice location:
  • Phone: 903-408-7760
  • Fax: 903-408-7762
Mailing address:
  • Phone: 903-408-5834
  • Fax: 903-408-7704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1141463
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: