Provider Demographics
NPI:1396384988
Name:KESTER, SARA (DPT)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:
Last Name:KESTER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 N STEPHANIE ST STE 310
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-6608
Mailing Address - Country:US
Mailing Address - Phone:763-227-5298
Mailing Address - Fax:
Practice Address - Street 1:400 N STEPHANIE ST STE 310
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-6608
Practice Address - Country:US
Practice Address - Phone:763-227-5298
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-30
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11540444-2401225100000X
NV4409225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist