Provider Demographics
NPI:1770162455
Name:NESTER, SARAH HAWSEY (DPT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:HAWSEY
Last Name:NESTER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 GLASCOE LN
Mailing Address - Street 2:
Mailing Address - City:WYTHEVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24382-5265
Mailing Address - Country:US
Mailing Address - Phone:276-698-9554
Mailing Address - Fax:
Practice Address - Street 1:800 E MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:WYTHEVILLE
Practice Address - State:VA
Practice Address - Zip Code:24382-3322
Practice Address - Country:US
Practice Address - Phone:276-323-0881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305212574225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist