Provider Demographics
NPI:1396944450
Name:USHER, OLIVE SARAH (LMT)
Entity type:Individual
Prefix:
First Name:OLIVE
Middle Name:SARAH
Last Name:USHER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1880 NW 46TH LN
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34475-7259
Mailing Address - Country:US
Mailing Address - Phone:352-867-7865
Mailing Address - Fax:
Practice Address - Street 1:1205 EAST SILVER SPRING BLVD.
Practice Address - Street 2:RITZ HISTORIC INN - SUITE 101
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-6823
Practice Address - Country:US
Practice Address - Phone:352-671-9300
Practice Address - Fax:352-671-9302
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA36244175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath