Provider Demographics
NPI:1912285503
Name:SMITH, SARA LYNN ZEHR (PT, DPT, OCS, MPH)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:LYNN ZEHR
Last Name:SMITH
Suffix:
Gender:F
Credentials:PT, DPT, OCS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1831 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46203-2071
Mailing Address - Country:US
Mailing Address - Phone:317-296-5256
Mailing Address - Fax:
Practice Address - Street 1:1831 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46203-2071
Practice Address - Country:US
Practice Address - Phone:317-296-5256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-29
Last Update Date:2024-01-30
Deactivation Date:2023-12-30
Deactivation Code:
Reactivation Date:2024-01-30
Provider Licenses
StateLicense IDTaxonomies
TX11969512251X0800X
IN05012782A2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic