Provider Demographics
NPI:1336015262
Name:STEVENS, SARAH DENISE (MASSAGE THERAPIST)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:DENISE
Last Name:STEVENS
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:638 HONEYSUCKLE LN
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72936-4602
Mailing Address - Country:US
Mailing Address - Phone:479-965-3308
Mailing Address - Fax:
Practice Address - Street 1:10 TOWN SQ STE 5
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:AR
Practice Address - Zip Code:72936-3200
Practice Address - Country:US
Practice Address - Phone:479-965-3308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR8176225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty