Organization
SPORTS THERAPY AND REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE C SAHL PT (CO OWNER PHYSICAL THERAPIST)
(817) 249-6336
Entity
Organization
Contact information
Practice address
1555 MERRIMAC CIRCLE, STE 200, FORT WORTH, TX 76107
(817) 870-4949
(817) 338-2940
Mailing address
1555 MERRIMAC CIRCLE, STE 200, FORT WORTH, TX 76107
(817) 870-4949
(817) 338-2940
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035GD
BCBS
TX
01
—
3815621
CIGNA
TX
01
—
686182
UNITED HEALTH CARE ACN
TX
Enumeration date
11/22/2006
Last updated
08/01/2007
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