Healthcare Provider Details

I. General information

NPI: 1174460083
Provider Name (Legal Business Name): SARA ZWINK DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1621 N 3RD ST STE 900
COEUR D ALENE ID
83814-3385
US

IV. Provider business mailing address

1621 N 3RD ST STE 900
COEUR D ALENE ID
83814-3385
US

V. Phone/Fax

Practice location:
  • Phone: 208-352-3069
  • Fax:
Mailing address:
  • Phone: 208-352-3069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number8371251
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: