Provider Demographics
NPI:1780028100
Name:DIEHL, SARAH (OTD, CLT)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:DIEHL
Suffix:
Gender:F
Credentials:OTD, CLT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:WEILERT/WERTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:2377 E ELK DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:KS
Mailing Address - Zip Code:67455-9223
Mailing Address - Country:US
Mailing Address - Phone:785-304-9254
Mailing Address - Fax:
Practice Address - Street 1:641 W CLOUD ST
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-5618
Practice Address - Country:US
Practice Address - Phone:785-304-9254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-29
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-02636225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS17-02636OtherOCCUPATIONAL THERAPY