Provider Demographics
NPI:1538937214
Name:SAUSER PHYSICAL THERAPY AND WELLNESS PC
Entity type:Organization
Organization Name:SAUSER PHYSICAL THERAPY AND WELLNESS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:DENESIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-432-5930
Mailing Address - Street 1:205 N BAYVIEW AVE APT 6
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-5124
Mailing Address - Country:US
Mailing Address - Phone:612-432-5930
Mailing Address - Fax:
Practice Address - Street 1:205 N BAYVIEW AVE APT 6
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-5124
Practice Address - Country:US
Practice Address - Phone:612-432-5930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty