Provider Demographics
NPI:1427386564
Name:MANSBERY, SARAH HUNTSMAN (MM, MT-BC)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:HUNTSMAN
Last Name:MANSBERY
Suffix:
Gender:F
Credentials:MM, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403B N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-4103
Mailing Address - Country:US
Mailing Address - Phone:910-619-2580
Mailing Address - Fax:
Practice Address - Street 1:403B N 7TH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-4103
Practice Address - Country:US
Practice Address - Phone:910-619-2580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-01
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC07060225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist