Provider Demographics
NPI:1841733888
Name:MAKSI, SARA (PHD, RD)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:MAKSI
Suffix:
Gender:F
Credentials:PHD, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2565 CARNEGIE DR
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-1165
Mailing Address - Country:US
Mailing Address - Phone:217-549-9276
Mailing Address - Fax:
Practice Address - Street 1:2565 CARNEGIE DR
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-1165
Practice Address - Country:US
Practice Address - Phone:217-549-9276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-23
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered