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NPI Code Detail

MEDICARE: GRANT SADLER PT

MEDICARE: GRANT SADLER 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
1225100000XPhysical TherapistPT017246GA

General Provider Information

NPI Number : 1225868789
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRANT SADLER PT
Provider Business Mailing Address
First Line : 900 CIRCLE 75 PKWY SE
Second Line :
City : ATLANTA
State : GA
Zip : 30339-3035
Country : US
Telephone Number : 678-996-7230
Fax Number :
Provider Business Practice Location Address
First Line : 2836 LAVISTA RD STE 1B
Second Line :
City : DECATUR
State : GA
Zip : 30033-1300
Country : US
Telephone Number : 678-894-4410
Fax Number : 678-894-4409
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2024
Last Update Date : 08/11/2025

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Directions to “ GRANT SADLER PT” Practice Location

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