Provider Demographics
NPI:1043770886
Name:RABE, SARAH BLAIR (EDD, LAT, ATC)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:BLAIR
Last Name:RABE
Suffix:
Gender:F
Credentials:EDD, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2942 LOCKHART DR
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24014-5400
Mailing Address - Country:US
Mailing Address - Phone:540-797-3352
Mailing Address - Fax:
Practice Address - Street 1:801 E MAIN ST # 6957
Practice Address - Street 2:
Practice Address - City:RADFORD
Practice Address - State:VA
Practice Address - Zip Code:24142-0002
Practice Address - Country:US
Practice Address - Phone:540-831-7652
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-20
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01260034452255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer