Healthcare Provider Details

I. General information

NPI: 1902478456
Provider Name (Legal Business Name): SARAH BENKERT LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2021
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11103 WEST AVE STE 2101
SAN ANTONIO TX
78213-1694
US

IV. Provider business mailing address

12826 FLORIANNE
SAN ANTONIO TX
78253-6152
US

V. Phone/Fax

Practice location:
  • Phone: 409-999-7988
  • Fax:
Mailing address:
  • Phone: 409-999-7988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT148337
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: