Basic Information
| Provider Information | |||||||||
| NPI: | 1437399219 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SAPP'S PHYSICAL THERAPY SERVICES, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 515 COMMERCE ST | ||||||||
| Address2: | |||||||||
| City: | HAWKINSVILLE | ||||||||
| State: | GA | ||||||||
| PostalCode: | 310361138 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4787834460 | ||||||||
| FaxNumber: | 4787834466 | ||||||||
| Practice Location | |||||||||
| Address1: | 1013 MAIN ST | ||||||||
| Address2: | |||||||||
| City: | PERRY | ||||||||
| State: | GA | ||||||||
| PostalCode: | 310693353 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4789888852 | ||||||||
| FaxNumber: | 4789875563 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/06/2009 | ||||||||
| LastUpdateDate: | 03/06/2009 | ||||||||
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| AuthorizedOfficialLastName: | SAPP | ||||||||
| AuthorizedOfficialFirstName: | JOSEPH | ||||||||
| AuthorizedOfficialMiddleName: | MELVIN | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT/ OWNER | ||||||||
| AuthorizedOfficialTelephone: | 4787834460 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | P.T. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2000X | Y | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy |
No ID Information.