MEDICARE: MRS. KATHERINE CLAIRE SAHL PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	222Z00000X	Orthotist	1100824	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1945210	OTHER	TX	FIRST HEALTH INS
2	87531T	OTHER	TX	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154490761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHERINE CLAIRE SAHL PT

Provider Business Mailing Address
First Line	:	1555 MERRIMAC CIRCLE
Second Line	:	STE 200
City	:	FORT WORTH
State	:	TX
Zip	:	76107
Country	:	US
Telephone Number	:	817-870-4949
Fax Number	:	817-338-2940

Provider Business Practice Location Address
First Line	:	1555 MERRIMAC CIRCLE
Second Line	:	STE 200
City	:	FORT WORTH
State	:	TX
Zip	:	76107
Country	:	US
Telephone Number	:	817-870-4949
Fax Number	:	817-338-2940

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	07/08/2007

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