Provider Demographics
NPI:1346845450
Name:CRABTREE, SARA E (PTA)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:E
Last Name:CRABTREE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:E
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:801 MALCOLM AVE
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:AR
Mailing Address - Zip Code:72112-3409
Mailing Address - Country:US
Mailing Address - Phone:870-523-6500
Mailing Address - Fax:
Practice Address - Street 1:801 MALCOLM AVE
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:AR
Practice Address - Zip Code:72112-3409
Practice Address - Country:US
Practice Address - Phone:870-523-6500
Practice Address - Fax:870-523-6508
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-04
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant