Provider Demographics
NPI:1740948579
Name:WILKUS, SARAH ANN (RRT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:WILKUS
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ANN
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RRT
Mailing Address - Street 1:1163 WALNUT CREEK TRL
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-2892
Mailing Address - Country:US
Mailing Address - Phone:937-631-5392
Mailing Address - Fax:
Practice Address - Street 1:1163 WALNUT CREEK TRL
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-2892
Practice Address - Country:US
Practice Address - Phone:937-631-5392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRCP.14776227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered