Provider Demographics
NPI:1134491541
Name:HIGHTOWER, SARAH (MT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:HIGHTOWER
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2989 N VICTORIA DR
Mailing Address - Street 2:
Mailing Address - City:ALPINE
Mailing Address - State:CA
Mailing Address - Zip Code:91901-3674
Mailing Address - Country:US
Mailing Address - Phone:619-446-9554
Mailing Address - Fax:
Practice Address - Street 1:2989 N VICTORIA DR
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:CA
Practice Address - Zip Code:91901-3674
Practice Address - Country:US
Practice Address - Phone:619-446-9554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-31
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13993225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist