Provider Demographics
NPI:1477319507
Name:LAHTI, SARA JOY
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:JOY
Last Name:LAHTI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 491
Mailing Address - Street 2:
Mailing Address - City:IRON RIVER
Mailing Address - State:WI
Mailing Address - Zip Code:54847-0491
Mailing Address - Country:US
Mailing Address - Phone:715-292-3269
Mailing Address - Fax:
Practice Address - Street 1:69725 COUNTY HIGHWAY A
Practice Address - Street 2:
Practice Address - City:IRON RIVER
Practice Address - State:WI
Practice Address - Zip Code:54847-7601
Practice Address - Country:US
Practice Address - Phone:715-292-3269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Single Specialty