Provider Demographics
NPI:1407883119
Name:COATS, SARAH ELIZABETH (PT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ELIZABETH
Last Name:COATS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1222 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:HOPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42240-4968
Mailing Address - Country:US
Mailing Address - Phone:270-707-7376
Mailing Address - Fax:270-707-7377
Practice Address - Street 1:1222 SKYLINE DR
Practice Address - Street 2:
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-4968
Practice Address - Country:US
Practice Address - Phone:270-707-7376
Practice Address - Fax:270-707-7377
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY005134225100000X
TN6885225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3648452Medicare ID - Type Unspecified