Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY P SADAUCKAS, PT, DPT, OCS, CSCS
ActiveDR. KELLY P SADAUCKAS, PT, DPT, OCS, CSCS is a Physical Therapy Assistant healthcare provider located in DRIGGS, Idaho. NPI 1992006761 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · DRIGGS, ID
Registration Details
- NPI Number
- 1992006761
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 10, 2010 (15.573017991001 yrs)
- Last Updated
- Jul 1, 2013
- License
-
PT-2689 (ID)
Practice Information
- Address
-
18 NORTH MAIN STSUITE 215DRIGGS, ID, 83422Browse ID providers · Browse ZIP 83422
- Phone
- 2083541999
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in DRIGGS, ID
| Name | Credential | NPI |
|---|---|---|
| MRS. JUDY M BAUMGARDNER | MS PT | 1790856797 |
| DANIEL N STREUBEL | MPT | 1063542504 |
| MICHAEL P BLEFFERT | PT | 1932224813 |
| CHRISTINE MARIE LUNDBERG-BLEFFERT | P.T. | 1225153018 |
| MICHELLE CHRISTENSEN | MPT | 1497874242 |
| MICHELLE BODENHAMER | D.P.T. | 1346576303 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.