Provider Demographics
NPI:1629798640
Name:FELT, SARAH (DEM)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:FELT
Suffix:
Gender:F
Credentials:DEM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:826 E 12300 S STE 2
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-8276
Mailing Address - Country:US
Mailing Address - Phone:801-252-6243
Mailing Address - Fax:801-901-4531
Practice Address - Street 1:826 E 12300 S STE 2
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-8276
Practice Address - Country:US
Practice Address - Phone:801-252-6243
Practice Address - Fax:801-901-4531
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175M00000XOther Service ProvidersMidwife, LayGroup - Single Specialty