Healthcare Provider Details

I. General information

NPI: 1205761640
Provider Name (Legal Business Name): SARAH ELIZABETH AGUIRRE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH DEHNEL

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1102 STEPHENSON LN STE 100
WAUNAKEE WI
53597-2515
US

IV. Provider business mailing address

1102 STEPHENSON LN STE 100
WAUNAKEE WI
53597-2515
US

V. Phone/Fax

Practice location:
  • Phone: 608-819-6394
  • Fax:
Mailing address:
  • Phone: 608-819-6394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: