Provider Demographics
NPI:1306220058
Name:MESSER, SARA (ATC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:MESSER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 E ALEXANDER LOVE HWY
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:SC
Mailing Address - Zip Code:29745-5502
Mailing Address - Country:US
Mailing Address - Phone:803-818-6274
Mailing Address - Fax:
Practice Address - Street 1:275 E ALEXANDER LOVE HWY
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:SC
Practice Address - Zip Code:29745-5502
Practice Address - Country:US
Practice Address - Phone:803-818-6274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-13
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer