Provider Demographics
NPI:1205100500
Name:KOLANDER, SARAH (MT-BC, WMTR, NMT-F)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:KOLANDER
Suffix:
Gender:F
Credentials:MT-BC, WMTR, NMT-F
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1537 HERITAGE BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST SALEM
Mailing Address - State:WI
Mailing Address - Zip Code:54669-9404
Mailing Address - Country:US
Mailing Address - Phone:608-304-7293
Mailing Address - Fax:
Practice Address - Street 1:1537 HERITAGE BLVD
Practice Address - Street 2:
Practice Address - City:WEST SALEM
Practice Address - State:WI
Practice Address - Zip Code:54669-9404
Practice Address - Country:US
Practice Address - Phone:608-304-7293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-04
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI115 - 038225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist