Provider Demographics
NPI:1700647807
Name:BARBERSEK, SARA K (LIMASSAGE THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:K
Last Name:BARBERSEK
Suffix:
Gender:F
Credentials:LIMASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9920 MCPHERSON RD
Mailing Address - Street 2:
Mailing Address - City:MILLINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48746-9428
Mailing Address - Country:US
Mailing Address - Phone:810-620-6368
Mailing Address - Fax:
Practice Address - Street 1:11945 CONQUEST ST
Practice Address - Street 2:
Practice Address - City:BIRCH RUN
Practice Address - State:MI
Practice Address - Zip Code:48415-9294
Practice Address - Country:US
Practice Address - Phone:989-624-9293
Practice Address - Fax:989-624-9294
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7501015006225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist