Provider Demographics
NPI:1356823884
Name:HARGIS, SARAH (ATC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:HARGIS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:EMBREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC
Mailing Address - Street 1:3908 LESTER AVE
Mailing Address - Street 2:
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74006-7111
Mailing Address - Country:US
Mailing Address - Phone:918-381-2796
Mailing Address - Fax:
Practice Address - Street 1:3908 LESTER AVE
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006-7111
Practice Address - Country:US
Practice Address - Phone:918-381-2796
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-31
Last Update Date:2018-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK20000329852255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer