Provider Demographics
NPI:1134357254
Name:MARCKET, SARAH RENEE (PT)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:RENEE
Last Name:MARCKET
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:RENEE
Other - Last Name:DELK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10624 CORY LAKE DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2995
Mailing Address - Country:US
Mailing Address - Phone:813-788-8516
Mailing Address - Fax:813-788-8519
Practice Address - Street 1:6945 GALL BLVD
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-2586
Practice Address - Country:US
Practice Address - Phone:813-788-8516
Practice Address - Fax:813-788-8519
Is Sole Proprietor?:No
Enumeration Date:2009-06-26
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT24690225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist