Provider Demographics
NPI:1558664235
Name:NEARHOOD, SARA ELIZABETH ANN
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:ELIZABETH ANN
Last Name:NEARHOOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13555 NE BEL RED RD STE 120
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-2324
Mailing Address - Country:US
Mailing Address - Phone:253-293-6653
Mailing Address - Fax:425-274-1574
Practice Address - Street 1:13555 NE BEL RED RD STE 120
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-2324
Practice Address - Country:US
Practice Address - Phone:253-293-6653
Practice Address - Fax:425-274-1574
Is Sole Proprietor?:No
Enumeration Date:2010-12-17
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60129791225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist