Healthcare Provider Details

I. General information

NPI: 1982103354
Provider Name (Legal Business Name): SARAH ELIZABETH COLLINS MS, LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2018
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1288 VALLEY FORGE RD UNIT 90
PHOENIXVILLE PA
19460-2687
US

IV. Provider business mailing address

87 PULASKI ST
POTTSTOWN PA
19464-6258
US

V. Phone/Fax

Practice location:
  • Phone: 484-366-1039
  • Fax:
Mailing address:
  • Phone: 484-948-8459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMSG016714
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: