Healthcare Provider Details

I. General information

NPI: 1083582597
Provider Name (Legal Business Name): SARAH LOUISE MARTINEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2213 2ND ST
CORALVILLE IA
52241-1205
US

IV. Provider business mailing address

1924 CALIFORNIA AVE
IOWA CITY IA
52240-5907
US

V. Phone/Fax

Practice location:
  • Phone: 319-688-3357
  • Fax:
Mailing address:
  • Phone: 219-614-4286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: