Provider Demographics
NPI:1346540465
Name:RICE, SARAH ALISON KIMBEL (PTA)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ALISON KIMBEL
Last Name:RICE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
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Mailing Address - Street 1:2424 N WYATT DR
Mailing Address - Street 2:200
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-6115
Mailing Address - Country:US
Mailing Address - Phone:520-784-6598
Mailing Address - Fax:520-784-6574
Practice Address - Street 1:2424 N WYATT DR
Practice Address - Street 2:200
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-6115
Practice Address - Country:US
Practice Address - Phone:520-784-6598
Practice Address - Fax:520-784-6574
Is Sole Proprietor?:No
Enumeration Date:2010-10-22
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ9069A225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant