Provider Demographics
NPI:1124404488
Name:ARNOLD, SARAH (LMP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 EASTMONT AVE STE B2
Mailing Address - Street 2:
Mailing Address - City:EAST WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98802-7706
Mailing Address - Country:US
Mailing Address - Phone:509-888-4840
Mailing Address - Fax:509-888-4839
Practice Address - Street 1:100 EASTMONT AVE STE B2
Practice Address - Street 2:
Practice Address - City:EAST WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98802-7706
Practice Address - Country:US
Practice Address - Phone:509-888-4840
Practice Address - Fax:509-888-4839
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-09
Last Update Date:2015-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 60557084225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist