Provider Demographics
NPI:1316135387
Name:SAILER, JOSEPH BRYAN (PT)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:BRYAN
Last Name:SAILER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 CAHABA RIVER PARC
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35243-3262
Mailing Address - Country:US
Mailing Address - Phone:205-970-8856
Mailing Address - Fax:
Practice Address - Street 1:100 SHADOW WOOD PARK STE B
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35244-3447
Practice Address - Country:US
Practice Address - Phone:205-957-0017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH1486225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist