Healthcare Provider Details

I. General information

NPI: 1184099814
Provider Name (Legal Business Name): SARA KATHERINE LYNCH MS, ATC, LAT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2015
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 JAGUAR DR
HOOVER AL
35242-4678
US

IV. Provider business mailing address

2114 SPRINGFIELD DR
CHELSEA AL
35043-2029
US

V. Phone/Fax

Practice location:
  • Phone: 256-453-4658
  • Fax:
Mailing address:
  • Phone: 256-453-4658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: