Provider Demographics
NPI:1457981771
Name:WINDERS, SARAH C (MT-BC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:C
Last Name:WINDERS
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W169S7598 GREGORY DR APT F
Mailing Address - Street 2:
Mailing Address - City:MUSKEGO
Mailing Address - State:WI
Mailing Address - Zip Code:53150-8677
Mailing Address - Country:US
Mailing Address - Phone:262-424-3432
Mailing Address - Fax:
Practice Address - Street 1:1125 JAMES DR
Practice Address - Street 2:
Practice Address - City:HARTLAND
Practice Address - State:WI
Practice Address - Zip Code:53029-8367
Practice Address - Country:US
Practice Address - Phone:262-424-3432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-26
Last Update Date:2020-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist