Provider Demographics
NPI:1760818876
Name:PAXSON, SARAH BUTSCH (DPT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:BUTSCH
Last Name:PAXSON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 E HOLLY ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-4712
Mailing Address - Country:US
Mailing Address - Phone:360-230-8033
Mailing Address - Fax:425-315-7024
Practice Address - Street 1:701 E HOLLY ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4712
Practice Address - Country:US
Practice Address - Phone:360-230-8033
Practice Address - Fax:425-315-7024
Is Sole Proprietor?:No
Enumeration Date:2013-09-20
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60366856225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist