Provider Demographics
NPI:1346896917
Name:ALWAY, SARAH (ATC, CSCS)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:ALWAY
Suffix:
Gender:F
Credentials:ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 S MYRTLE AVE APT 516
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91016-8423
Mailing Address - Country:US
Mailing Address - Phone:503-508-6652
Mailing Address - Fax:
Practice Address - Street 1:1200 E CALIFORNIA BLVD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91125-0001
Practice Address - Country:US
Practice Address - Phone:626-395-1205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-10
Last Update Date:2019-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Single Specialty