Provider Demographics
NPI:1952360901
Name:MCNAMEE, SARAH J (PT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:J
Last Name:MCNAMEE
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 1:5455 W 11000 N STE 107
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:UT
Mailing Address - Zip Code:84003-8801
Mailing Address - Country:US
Mailing Address - Phone:801-362-0857
Mailing Address - Fax:801-477-6092
Practice Address - Street 1:5455 W 11000 N STE 107
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:UT
Practice Address - Zip Code:84003-8801
Practice Address - Country:US
Practice Address - Phone:801-362-0857
Practice Address - Fax:801-477-6092
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-20
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT11284200-2401OtherSTATE LICENSE
VT364779OtherMVP
VN2876Medicare ID - Type Unspecified