Provider Demographics
NPI:1811120033
Name:GERSCHUTZ, SARAH ANN (MED, LMT, CPT)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ANN
Last Name:GERSCHUTZ
Suffix:
Gender:F
Credentials:MED, LMT, CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 LANCELOT DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-3620
Mailing Address - Country:US
Mailing Address - Phone:843-413-5172
Mailing Address - Fax:
Practice Address - Street 1:2712 2ND LOOP RD # B
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-5433
Practice Address - Country:US
Practice Address - Phone:843-413-5172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-03
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2839225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist