Healthcare Provider Details

I. General information

NPI: 1528940152
Provider Name (Legal Business Name): SARA B SALYER REGISTERED DIETITIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2025
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

279 CENTRAL AVE
BATESVILLE IN
47006-8917
US

IV. Provider business mailing address

2603 S COUNTY ROAD 200 W
VERSAILLES IN
47042-8908
US

V. Phone/Fax

Practice location:
  • Phone: 812-621-1923
  • Fax:
Mailing address:
  • Phone: 812-621-1923
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86046142
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: