Provider Demographics
NPI:1659533826
Name:PRIFOGLE, SARA KRISTINE (MPT)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:KRISTINE
Last Name:PRIFOGLE
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 WINDING WAY
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47006-7652
Mailing Address - Country:US
Mailing Address - Phone:812-932-3224
Mailing Address - Fax:812-932-3229
Practice Address - Street 1:295 WINDING WAY
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:IN
Practice Address - Zip Code:47006-7652
Practice Address - Country:US
Practice Address - Phone:812-932-3224
Practice Address - Fax:812-932-3229
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05008234A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist