Provider Demographics
NPI:1003635251
Name:NALL, SARAH ANNE (DPT)
Entity type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:ANNE
Last Name:NALL
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 1:1510 N ARGONNE RD STE F
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99212-2572
Mailing Address - Country:US
Mailing Address - Phone:509-279-2867
Mailing Address - Fax:509-279-2419
Practice Address - Street 1:1510 N ARGONNE RD STE F
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99212-2572
Practice Address - Country:US
Practice Address - Phone:509-279-2867
Practice Address - Fax:509-279-2419
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-05
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60257886225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty