Provider Demographics
NPI:1831215961
Name:HEHIR, SARAH JEAN (PT)
Entity type:Individual
Prefix:PROF
First Name:SARAH
Middle Name:JEAN
Last Name:HEHIR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 INDIAN PATH RD
Mailing Address - Street 2:
Mailing Address - City:GRAYSLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60030-3517
Mailing Address - Country:US
Mailing Address - Phone:231-342-4517
Mailing Address - Fax:
Practice Address - Street 1:415 MUNSON AVE STE 101
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49686-3059
Practice Address - Country:US
Practice Address - Phone:231-486-6330
Practice Address - Fax:231-486-6329
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.015584225100000X
MI5501018983225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist