Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | PT-2824 | ID |
N | 225100000X | Physical Therapist | PT00009951 | WA |
N | 2251S0007X | Physical Therapist - Sports | PT-2824 | ID |
Y | 2251X0800X | Physical Therapist - Orthopedic | PT-2824 | ID |
NPI | 1295821247 |
---|---|
Provider Name | Mr. John Patrick Sayler |
First Address | Coeur D Alene, ID 83814-6190 |
Second Address | Coeur D Alene, ID 83814-6190 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 16/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1295821247 | (05) | ID |