Provider Demographics
NPI:1851644744
Name:YOHO, SARA R (PT)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:R
Last Name:YOHO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 N 118TH CT
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53225-3086
Mailing Address - Country:US
Mailing Address - Phone:414-257-4673
Mailing Address - Fax:414-257-4688
Practice Address - Street 1:5400 N 118TH CT
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53225-3086
Practice Address - Country:US
Practice Address - Phone:414-257-4673
Practice Address - Fax:414-257-4688
Is Sole Proprietor?:No
Enumeration Date:2012-10-17
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070017956225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIL6697019OtherMEDICARE
ILIL6237021OtherMEDICARE
ILIL6238021OtherMEDICARE