| Doctor Name: | DR. SARA C REARDON |
| NPI Number: | 1245425990 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 1177980 |
| Business Practice Address: | 12505 Hymeadow Dr Bldg 2, Ste 2b Austin, TX - 787501867 |
| Business Phone Number: | 5123359300 |
| Business Fax Number: | 5123359301 |
| Mailing Address: | 2611 Bee Cave Rd, Apt 310 AUSTIN |
| State: | TX |
| Postal Code: | 787465699 |
| Phone Number: | 3146913878 |
| Fax Number: | 5123359301 |
| NPI Enumeration Date: | 09/06/2007 |
| NPI Last Update Date: | 09/06/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1177980 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |