Provider Demographics
NPI:1780359331
Name:HORAN, SARAH (MSAT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:HORAN
Suffix:
Gender:F
Credentials:MSAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 CEDAR ST.
Mailing Address - Street 2:APT. 3D
Mailing Address - City:CLINTON
Mailing Address - State:SC
Mailing Address - Zip Code:29325-3055
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:105 ASHLAND AVE
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:SC
Practice Address - Zip Code:29325-2960
Practice Address - Country:US
Practice Address - Phone:864-938-5366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-14
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program