Provider Demographics
NPI:1093050502
Name:HIGDON, SARAH HEISE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:HEISE
Last Name:HIGDON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:624 COLORADO ST
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-3108
Mailing Address - Country:US
Mailing Address - Phone:505-620-7234
Mailing Address - Fax:
Practice Address - Street 1:624 COLORADO ST
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-3108
Practice Address - Country:US
Practice Address - Phone:505-620-7234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-10
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO11326225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist