Provider Demographics
NPI:1528037546
Name:MARCHANT, SARAH LEIGH (PT)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:LEIGH
Last Name:MARCHANT
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 1:4070 WOODEN SHOE LN
Mailing Address - Street 2:
Mailing Address - City:PEOA
Mailing Address - State:UT
Mailing Address - Zip Code:84061-9709
Mailing Address - Country:US
Mailing Address - Phone:435-783-5728
Mailing Address - Fax:
Practice Address - Street 1:5237 GREENPINE DR
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84123-4604
Practice Address - Country:US
Practice Address - Phone:801-263-2063
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5602462-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist