Provider Demographics
NPI:1366648362
Name:SACKETT, HANNAH MARGARET (CSCS)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:MARGARET
Last Name:SACKETT
Suffix:
Gender:F
Credentials:CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:529 S. PARSONS AVE
Mailing Address - Street 2:APT 603
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-6024
Mailing Address - Country:US
Mailing Address - Phone:614-562-5032
Mailing Address - Fax:
Practice Address - Street 1:325 CATTLEMEN RD
Practice Address - Street 2:UNIT B
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-6312
Practice Address - Country:US
Practice Address - Phone:941-342-0454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH225500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist