Provider Demographics
NPI:1275800542
Name:FLAIG, SARA (PTA)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:
Last Name:FLAIG
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:MS
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:CHAPIEWSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:410 GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:WI
Mailing Address - Zip Code:54656-1129
Mailing Address - Country:US
Mailing Address - Phone:608-797-1252
Mailing Address - Fax:
Practice Address - Street 1:962 GARLAND ST E
Practice Address - Street 2:
Practice Address - City:WEST SALEM
Practice Address - State:WI
Practice Address - Zip Code:54669
Practice Address - Country:US
Practice Address - Phone:608-372-3241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-30
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1410-019225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant