Healthcare Provider Details

I. General information

NPI: 1851032445
Provider Name (Legal Business Name): SARAH N MATTERN LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2022
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 HEWITT AVE
DAYTON OH
45440-2917
US

IV. Provider business mailing address

3060 DAYTON XENIA RD STE C
BEAVERCREEK OH
45434-6393
US

V. Phone/Fax

Practice location:
  • Phone: 937-900-9673
  • Fax: 937-518-7798
Mailing address:
  • Phone: 937-427-2225
  • Fax: 937-405-1078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number33.025818
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: