Provider Demographics
NPI:1174984181
Name:SAVISKY, DEMI (PT)
Entity type:Individual
Prefix:
First Name:DEMI
Middle Name:
Last Name:SAVISKY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 ROSEWATER LN
Mailing Address - Street 2:
Mailing Address - City:INDIAN TRAIL
Mailing Address - State:NC
Mailing Address - Zip Code:28079-3712
Mailing Address - Country:US
Mailing Address - Phone:704-283-0028
Mailing Address - Fax:866-750-0856
Practice Address - Street 1:1004 ROSEWATER LN
Practice Address - Street 2:
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28079
Practice Address - Country:US
Practice Address - Phone:704-283-0028
Practice Address - Fax:866-750-0856
Is Sole Proprietor?:No
Enumeration Date:2016-03-18
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT025010225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist