Provider Demographics
NPI:1932690708
Name:WHITT, SARAH NOLL (PT, DPT, OCS, ATC/L)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:NOLL
Last Name:WHITT
Suffix:
Gender:F
Credentials:PT, DPT, OCS, ATC/L
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:MORIARITY
Other - Last Name:NOLL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:800 5TH AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-7301
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 5TH AVE STE 150
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-7301
Practice Address - Country:US
Practice Address - Phone:817-250-7500
Practice Address - Fax:817-250-7501
Is Sole Proprietor?:No
Enumeration Date:2018-05-28
Last Update Date:2018-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11682972251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports