Provider Demographics
NPI:1053459636
Name:GARRETT, SARAH (PT, MBA)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:
Last Name:GARRETT
Suffix:
Gender:F
Credentials:PT, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6360 S STATE ROAD 39
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:IN
Mailing Address - Zip Code:46052-9171
Mailing Address - Country:US
Mailing Address - Phone:317-850-9341
Mailing Address - Fax:765-483-9790
Practice Address - Street 1:6360 S STATE ROAD 39
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:IN
Practice Address - Zip Code:46052-9171
Practice Address - Country:US
Practice Address - Phone:317-850-9341
Practice Address - Fax:765-483-9790
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05007326A2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics