Provider Demographics
NPI:1720560535
Name:FARTHING, SARAH KRISTIN (LMT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:KRISTIN
Last Name:FARTHING
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:KRISTIN
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:146 U ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-1372
Mailing Address - Country:US
Mailing Address - Phone:434-390-1767
Mailing Address - Fax:
Practice Address - Street 1:146 U ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-1372
Practice Address - Country:US
Practice Address - Phone:434-390-1767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMT2431225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist