Healthcare Provider Details

I. General information

NPI: 1083547244
Provider Name (Legal Business Name): SARAH WIEHE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2125 E LA SALLE ST
COLORADO SPRINGS CO
80909-2217
US

IV. Provider business mailing address

5723 WOLF VILLAGE DR
COLORADO SPRINGS CO
80924-2002
US

V. Phone/Fax

Practice location:
  • Phone: 719-219-3402
  • Fax:
Mailing address:
  • Phone: 719-502-5531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0010292
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: