DR. Kelly P Sadauckas, PT, DPT, OCS, CSCS

NPI #1992006761 in Driggs, Idaho

Provider Information

NPI Number: 1992006761
Entity Type: Individual
Name: DR. Kelly P Sadauckas, PT, DPT, OCS, CSCS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT, OCS, CSCS
Enumeration Date: Nov 10, 2010
Last Updated: Jul 1, 2013

Practice Location

Address: 18 NORTH MAIN ST
Address 2: SUITE 215
City: Driggs
State: Idaho
ZIP Code: 83422
Phone: (208) 354-1999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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