Provider Demographics
NPI:1235863770
Name:POLLOCK, SARAH KAY
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:KAY
Last Name:POLLOCK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:KAY
Other - Last Name:HETTINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2985 SUMMERBROOK DR
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81504-6999
Mailing Address - Country:US
Mailing Address - Phone:775-772-8337
Mailing Address - Fax:
Practice Address - Street 1:2985 SUMMERBROOK DR
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81504-6999
Practice Address - Country:US
Practice Address - Phone:775-772-8337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program