Healthcare Provider Details

I. General information

NPI: 1386427987
Provider Name (Legal Business Name): SARAH CONLEY PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2023
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 INDIAN HILLS DR
BURLINGTON IA
52601-9406
US

IV. Provider business mailing address

1212 INDIAN HILLS DR
BURLINGTON IA
52601-9406
US

V. Phone/Fax

Practice location:
  • Phone: 319-752-4100
  • Fax:
Mailing address:
  • Phone: 319-759-7446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number092367
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: