Healthcare Provider Details

I. General information

NPI: 1093191462
Provider Name (Legal Business Name): SARAH THOMAS PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH HATCHER

II. Dates (important events)

Enumeration Date: 08/07/2015
Last Update Date: 01/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1506 S SUNSET AVE STE B
LITTLEFIELD TX
79339-4813
US

IV. Provider business mailing address

2431 S LOOP 289
LUBBOCK TX
79423-1519
US

V. Phone/Fax

Practice location:
  • Phone: 806-385-3746
  • Fax:
Mailing address:
  • Phone: 806-771-8008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1263568
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: