Healthcare Provider Details

I. General information

NPI: 1518881127
Provider Name (Legal Business Name): SARA NIEHOFF
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 E VAN TREES ST
WASHINGTON IN
47501-2948
US

IV. Provider business mailing address

2733 SOUTH 650 WEST
HUNTINGBURG IN
48542
US

V. Phone/Fax

Practice location:
  • Phone: 812-253-2673
  • Fax:
Mailing address:
  • Phone: 812-827-0651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number22007115A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: