Provider Demographics
NPI:1700237666
Name:BONDS, SARA LS (LMT, CST, RMT)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:LS
Last Name:BONDS
Suffix:
Gender:F
Credentials:LMT, CST, RMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5938 US HIGHWAY 93 S
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937-8415
Mailing Address - Country:US
Mailing Address - Phone:406-471-3181
Mailing Address - Fax:406-863-9301
Practice Address - Street 1:5938 US HIGHWAY 93 S
Practice Address - Street 2:
Practice Address - City:WHITEFISH
Practice Address - State:MT
Practice Address - Zip Code:59937-8415
Practice Address - Country:US
Practice Address - Phone:406-471-3181
Practice Address - Fax:406-863-9301
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-22
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT810225700000X
WAMA7707225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist