Provider Demographics
NPI:1477049732
Name:LEMMONS, SARAH (ATC LAT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:LEMMONS
Suffix:
Gender:F
Credentials:ATC LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 COLLEGE DR APT 6
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67846-6129
Mailing Address - Country:US
Mailing Address - Phone:316-249-1779
Mailing Address - Fax:
Practice Address - Street 1:801 CAMPUS DR
Practice Address - Street 2:ATHLETIC DEPARTMENT
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846
Practice Address - Country:US
Practice Address - Phone:620-276-0422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-10
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer