Provider Demographics
NPI:1265899397
Name:BALTHASER, SARAH (DC)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:BALTHASER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 ABINGTON DR STE 101B
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1898
Mailing Address - Country:US
Mailing Address - Phone:610-750-9131
Mailing Address - Fax:
Practice Address - Street 1:320 ABINGTON DR STE 101B
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1898
Practice Address - Country:US
Practice Address - Phone:610-750-9131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-20
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAJ010880111NR0400X
PADC011113111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation