Healthcare Provider Details

I. General information

NPI: 1376846675
Provider Name (Legal Business Name): SARAH MORRIS AAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2010
Last Update Date: 01/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 TIETON DR STE C
YAKIMA WA
98908-3479
US

IV. Provider business mailing address

301 WISE ACRE RD
YAKIMA WA
98901-8327
US

V. Phone/Fax

Practice location:
  • Phone: 509-965-7100
  • Fax:
Mailing address:
  • Phone: 509-949-3314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberCG60716315
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00013591
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: