Provider Demographics
NPI:1700168960
Name:PRATER-MANOR, SARAH BETH (DC)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:BETH
Last Name:PRATER-MANOR
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 1:24907 ARDEN PARK DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-2213
Mailing Address - Country:US
Mailing Address - Phone:248-789-5430
Mailing Address - Fax:
Practice Address - Street 1:24907 ARDEN PARK DR
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-2213
Practice Address - Country:US
Practice Address - Phone:248-789-5430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009805111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor