Provider Demographics
NPI:1154317352
Name:FOSHEIM, SARAH M (PT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:M
Last Name:FOSHEIM
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:M
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1720 S CLIFF AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-2129
Mailing Address - Country:US
Mailing Address - Phone:605-334-5630
Mailing Address - Fax:605-332-5327
Practice Address - Street 1:1720 S CLIFF AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-2129
Practice Address - Country:US
Practice Address - Phone:605-334-5630
Practice Address - Fax:605-332-5327
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD0896225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD10F98FOOtherBLUE CROSS BLUE SHIELD MN
SD4994836OtherBLUE CROSS BLUE SHIELD SD
SD21968OtherSIOUX VALLEY HEALTH PLANS
SD4998213OtherBLUE CROSS BLUE SHIELD SD
SD64-05325OtherMEDICA
SD5831353Medicaid
SD64-01473OtherMEDICA
SD896OtherDAKOTACARE
SD64-01474OtherMEDICA
SD64-04205OtherMEDICA
SD834471OtherARAZ
SD4998286OtherBLUE CROSS BLUE SHIELD SD