Provider Demographics
NPI:1205214632
Name:MONTEE, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MONTEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W5405 KEIL COULEE RD
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-2921
Mailing Address - Country:US
Mailing Address - Phone:608-769-4301
Mailing Address - Fax:
Practice Address - Street 1:W5467 TIMBER CREEK TRL
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-3012
Practice Address - Country:US
Practice Address - Phone:608-769-4301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-18
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer