| Organization Name: | PREMIERR PHYSICAL THERAPY & SPORTS MEDICINE CLINIC PC |
| NPI Number: | 1598106346 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTOPHER SAKALA (OWNER/PRESIDENT/LIC PT) |
| Mailing Address: | 1277 E Cedar Ave Gladwin |
| State: | MI US |
| Postal Code: | 486247004 |
| Phone Number: | 9894261100 |
| Fax Number: | 9894261400 |
| NPI Enumeration Date: | 07/09/2013 |
| NPI Last Update Date: | 07/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 5501006733 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |