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NPI 1376658609

NPI 1376658609 : TERRY LYNN SADLER P.T., DPT : GREENVILLE, TX

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General NPI Number Information
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    NPI Number           |    1376658609
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    Entity Type          |    Individual 
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    Provider Name        |    TERRY LYNN SADLER P.T., DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/19/2006
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    Last Update Date     |    03/24/2025
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Provider Practice Location Address
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    Address Line         |    5101 WELLINGTON ST UNIT B 
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    City                 |    GREENVILLE
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    State                |    TX
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    Zip                  |    75402-6040
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    Country              |    US
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    Telephone            |    903-408-7760
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    Fax                  |    903-408-7762
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Provider Business Mailing Address
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    Address Line         |    4211 JOE RAMSEY BLVD E STE 100 
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    City                 |    GREENVILLE
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    State                |    TX
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    Zip                  |    75401-7856
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    Country              |    US
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    Telephone            |    903-408-5834
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    Fax                  |    903-408-7704
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    1141463
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    License Number State |    TX
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