MEDICARE: DR. SARAH KAY KRETMAN PT, DPT, NCS

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	225100000X	Physical Therapist	36725	CA
2	2251N0400X	Neurology Physical Therapist	8445	MN

General Provider Information

NPI Number	:	1932429651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH KAY KRETMAN PT, DPT, NCS

Provider Business Mailing Address
First Line	:	3337 THORNTON DR SW
Second Line	:
City	:	PRIOR LAKE
State	:	MN
Zip	:	55372-4339
Country	:	US
Telephone Number	:	612-801-2433
Fax Number	:

Provider Business Practice Location Address
First Line	:	3337 THORNTON DR SW
Second Line	:
City	:	PRIOR LAKE
State	:	MN
Zip	:	55372-4339
Country	:	US
Telephone Number	:	612-801-2433
Fax Number	:

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

Provider Enumeration Date	:	06/03/2010
Last Update Date	:	03/21/2014

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