| Doctor Name: | DR. SARA MARIE EDLEBECK |
| NPI Number: | 1568694602 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.T. |
| License Number: | 5501014676 |
| Business Practice Address: | 1705 Pyle Dr Kingsford, MI - 498021143 |
| Business Phone Number: | 9067742900 |
| Business Fax Number: | 9067742902 |
| Mailing Address: | 555 Co Rd Hq, MARQUETTE |
| State: | MI |
| Postal Code: | 49855 |
| Phone Number: | 9062255570 |
| Fax Number: | 9062255572 |
| NPI Enumeration Date: | 08/21/2009 |
| NPI Last Update Date: | 07/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5501014676 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| 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 |