Provider Demographics
NPI:1083253447
Name:HOEKEMA, SARAH JENNIFER (PT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JENNIFER
Last Name:HOEKEMA
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 1:7440 N SHADELAND AVE STE 130
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-2027
Mailing Address - Country:US
Mailing Address - Phone:317-577-7333
Mailing Address - Fax:317-577-7330
Practice Address - Street 1:7440 N SHADELAND AVE STE 130
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-2027
Practice Address - Country:US
Practice Address - Phone:317-577-7333
Practice Address - Fax:317-577-7330
Is Sole Proprietor?:No
Enumeration Date:2020-01-03
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05005645A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist