Provider Demographics
NPI:1558501239
Name:MCGAHA, SARA J (LMT)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:J
Last Name:MCGAHA
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
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Mailing Address - Street 1:1038 SE OCEAN BLVD
Mailing Address - Street 2:STE B
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34996-2516
Mailing Address - Country:US
Mailing Address - Phone:772-288-2008
Mailing Address - Fax:772-288-3256
Practice Address - Street 1:1038 SE OCEAN BLVD
Practice Address - Street 2:STE B
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996-2516
Practice Address - Country:US
Practice Address - Phone:772-288-2008
Practice Address - Fax:772-288-3256
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-20
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLMA54965225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist