Healthcare Provider Details

I. General information

NPI: 1952875130
Provider Name (Legal Business Name): MICHAELA ROSE SAHR ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2019
Last Update Date: 09/08/2022
Certification Date: 09/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

568 S CLEVELAND AVE
WESTERVILLE OH
43081-8970
US

IV. Provider business mailing address

715 MOUNT ZION RD SW
LANCASTER OH
43130-9542
US

V. Phone/Fax

Practice location:
  • Phone: 614-895-3344
  • Fax:
Mailing address:
  • Phone: 740-475-7765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: