Provider Demographics
NPI:1205443967
Name:MELENDEZ CHIPMAN, SARAH MARIE (DPT)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:MARIE
Last Name:MELENDEZ CHIPMAN
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 1:5415 BANCROFT AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-4419
Mailing Address - Country:US
Mailing Address - Phone:605-430-2284
Mailing Address - Fax:
Practice Address - Street 1:624 PINEWOOD AVE
Practice Address - Street 2:
Practice Address - City:SEWARD
Practice Address - State:NE
Practice Address - Zip Code:68434-1055
Practice Address - Country:US
Practice Address - Phone:605-430-2284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-28
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4096225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist