Healthcare Provider Details

I. General information

NPI: 1376322206
Provider Name (Legal Business Name): SARAH WOODBURY MS, MAT, ATC, LAT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2023
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BREVARD COLLEGE DR
BREVARD NC
28712-3497
US

IV. Provider business mailing address

800 N JUSTICE ST
HENDERSONVILLE NC
28791-3410
US

V. Phone/Fax

Practice location:
  • Phone: 828-641-0371
  • Fax:
Mailing address:
  • Phone: 828-641-0371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberLAT-6212
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: