Provider Demographics
NPI:1952137853
Name:KLINE, SARAH ANN
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ANN
Last Name:KLINE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4515 S 800 E
Mailing Address - Street 2:
Mailing Address - City:KNOX
Mailing Address - State:IN
Mailing Address - Zip Code:46534-8351
Mailing Address - Country:US
Mailing Address - Phone:574-806-6121
Mailing Address - Fax:
Practice Address - Street 1:4515 S 800 E
Practice Address - Street 2:
Practice Address - City:KNOX
Practice Address - State:IN
Practice Address - Zip Code:46534-8351
Practice Address - Country:US
Practice Address - Phone:574-806-6121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist