Provider Demographics
NPI:1023534781
Name:YONTS, SARAH M (PT, DPT, ATC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:M
Last Name:YONTS
Suffix:
Gender:F
Credentials:PT, DPT, ATC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:AGUSTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5100 ELDORADO PKWY # 10220SCR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-6510
Mailing Address - Country:US
Mailing Address - Phone:972-781-1111
Mailing Address - Fax:972-781-1101
Practice Address - Street 1:6105 WINDCOM CT
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-7889
Practice Address - Country:US
Practice Address - Phone:972-781-1111
Practice Address - Fax:972-781-1101
Is Sole Proprietor?:No
Enumeration Date:2017-08-15
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1293728225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1293728OtherPHYSICAL THERAPY LICENSE