Provider Demographics
NPI:1093900185
Name:FOSTER, SARA KATHRINE (MS, DPT, CFMT)
Entity Type:Individual
Prefix:MISS
First Name:SARA
Middle Name:KATHRINE
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MS, DPT, CFMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16548 ROCKY MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:SALIDA
Mailing Address - State:CO
Mailing Address - Zip Code:81201-1545
Mailing Address - Country:US
Mailing Address - Phone:928-380-3358
Mailing Address - Fax:
Practice Address - Street 1:1000 RUSH DR
Practice Address - Street 2:
Practice Address - City:SALIDA
Practice Address - State:CO
Practice Address - Zip Code:81201-9627
Practice Address - Country:US
Practice Address - Phone:719-530-2040
Practice Address - Fax:719-530-2041
Is Sole Proprietor?:No
Enumeration Date:2007-09-11
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL00128252251N0400X, 2251X0800X
WAMA00024201225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist