Provider Demographics
NPI:1992019871
Name:SMITH, SARAH KRISTIN (DPT)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:KRISTIN
Last Name:SMITH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MRS
Other - First Name:SARAH
Other - Middle Name:KRISTEN
Other - Last Name:POOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:9 RAPIDAN RD
Mailing Address - Street 2:
Mailing Address - City:LOCUST GROVE
Mailing Address - State:VA
Mailing Address - Zip Code:22508-2026
Mailing Address - Country:US
Mailing Address - Phone:540-850-8435
Mailing Address - Fax:540-854-0369
Practice Address - Street 1:9445 ZACHARY TAYLOR HWY
Practice Address - Street 2:
Practice Address - City:UNIONVILLE
Practice Address - State:VA
Practice Address - Zip Code:22567-2126
Practice Address - Country:US
Practice Address - Phone:540-854-0367
Practice Address - Fax:540-854-0369
Is Sole Proprietor?:No
Enumeration Date:2010-08-03
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305206574225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist