Individual provider · Type 1 NPI
Katelyn Sage, DPT
Rehabilitation Clinic/Center · Shipman, IL
NPI number
1689041295
Active
Practice location
4394 Route 16
Shipman, IL 62685-6062
Mailing address
332 Aberdeen Dr
Glen Carbon, IL 62034-8533
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Maintenance Organization | 302R00000X | 7683 (SC) |
| Physical Therapist | 225100000X | None listed |
| Rehabilitation Clinic/Center Primary | 261QR0400X | 7683 (SC) |
Rehabilitation Clinic/Center: Definition to come...
About NPI 1689041295
Katelyn Sage, DPT's National Provider Identifier is 1689041295, issued on Aug 31, 2015. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Shipman, IL. The record was last updated on Jan 20, 2020.