Provider Demographics
NPI:1346381910
Name:PERKINS, SARAH ALLISON (LMT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ALLISON
Last Name:PERKINS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:ALLISON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:4017 S CUSHMAN AVE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98418-2536
Mailing Address - Country:US
Mailing Address - Phone:253-906-8413
Mailing Address - Fax:253-565-1286
Practice Address - Street 1:2607 BRIDGEPORT WAY W
Practice Address - Street 2:1A
Practice Address - City:UNIVERSITY PLACE
Practice Address - State:WA
Practice Address - Zip Code:98466-4700
Practice Address - Country:US
Practice Address - Phone:253-564-2353
Practice Address - Fax:253-565-1286
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00013579174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist