Healthcare Provider Details

I. General information

NPI: 1982964888
Provider Name (Legal Business Name): SARAH D GANTENBEIN LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2012
Last Update Date: 05/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7478 E TURTLE BANK DR
KINGMAN AZ
86401-8343
US

IV. Provider business mailing address

7478 E TURTLE BANK DR
KINGMAN AZ
86401-8343
US

V. Phone/Fax

Practice location:
  • Phone: 615-305-8780
  • Fax:
Mailing address:
  • Phone: 615-305-8780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT-16834
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: