Provider Demographics
NPI:1912458936
Name:DECHANT, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:DECHANT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:DECHANT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OT
Mailing Address - Street 1:714 BALLINGER ST
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67846-5918
Mailing Address - Country:US
Mailing Address - Phone:620-275-0291
Mailing Address - Fax:620-275-0365
Practice Address - Street 1:714 BALLINGER ST
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-5918
Practice Address - Country:US
Practice Address - Phone:620-275-0291
Practice Address - Fax:620-275-0365
Is Sole Proprietor?:No
Enumeration Date:2016-10-14
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-03215225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist