Provider Demographics
NPI:1326306606
Name:STABLER, SARAH G (LMT, NCTMB)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:G
Last Name:STABLER
Suffix:
Gender:F
Credentials:LMT, NCTMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 MEADOWLAWN RD
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-3608
Mailing Address - Country:US
Mailing Address - Phone:716-816-5740
Mailing Address - Fax:
Practice Address - Street 1:1961 WEHRLE DR STE 7
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-8460
Practice Address - Country:US
Practice Address - Phone:716-816-5740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-24
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025461-1225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist