Healthcare Provider Details

I. General information

NPI: 1477254704
Provider Name (Legal Business Name): SARAH JEAN MEERS LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2023
Last Update Date: 03/14/2023
Certification Date: 03/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1013 LAKE ST SUITE 100
SANDPOINT ID
83864
US

IV. Provider business mailing address

1013 LAKE ST SUITE 100
SANDPOINT ID
83864
US

V. Phone/Fax

Practice location:
  • Phone: 208-693-3300
  • Fax: 208-693-3300
Mailing address:
  • Phone: 208-693-3300
  • Fax: 208-693-3300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: