Healthcare Provider Details

I. General information

NPI: 1154935377
Provider Name (Legal Business Name): SARA HALE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARA CATHEY

II. Dates (important events)

Enumeration Date: 09/04/2020
Last Update Date: 07/15/2021
Certification Date: 07/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1680 UNION AVE STE 106
MEMPHIS TN
38104-3768
US

IV. Provider business mailing address

PO BOX 306393
NASHVILLE TN
37230-6393
US

V. Phone/Fax

Practice location:
  • Phone: 901-969-0297
  • Fax: 901-969-0198
Mailing address:
  • Phone: 615-373-1350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP003606T
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: