Provider Demographics
NPI:1215561709
Name:KING, SARAH (PT, DPT, CKTP, CFMT)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:KING
Suffix:
Gender:F
Credentials:PT, DPT, CKTP, CFMT
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:RENFRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT, CKTP, CFMT
Mailing Address - Street 1:2122 FORT WORTH HWY
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-4833
Mailing Address - Country:US
Mailing Address - Phone:817-228-8322
Mailing Address - Fax:
Practice Address - Street 1:2110 FORT WORTH HWY
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-4833
Practice Address - Country:US
Practice Address - Phone:817-697-7982
Practice Address - Fax:817-286-4255
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-24
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1271926225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1271926OtherSTATE