Provider Demographics
NPI:1245797588
Name:VAN'T SANT, SABRINA JEANETTE
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:JEANETTE
Last Name:VAN'T SANT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1609 155TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW SHARON
Mailing Address - State:IA
Mailing Address - Zip Code:50207-8119
Mailing Address - Country:US
Mailing Address - Phone:641-780-4514
Mailing Address - Fax:
Practice Address - Street 1:1609 155TH ST
Practice Address - Street 2:
Practice Address - City:NEW SHARON
Practice Address - State:IA
Practice Address - Zip Code:50207-8119
Practice Address - Country:US
Practice Address - Phone:641-780-4514
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-22
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer