Provider Demographics
NPI:1154505162
Name:BENTLEY, SARAH ELISA (DC)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ELISA
Last Name:BENTLEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8108 TOLTEC CT
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76002-4228
Mailing Address - Country:US
Mailing Address - Phone:214-960-8796
Mailing Address - Fax:
Practice Address - Street 1:5646 MILTON ST 240
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-3930
Practice Address - Country:US
Practice Address - Phone:214-960-8796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-27
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10790111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor