=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407712573
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARA CATHERINE HARTMAN CMT, CLT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/01/2026
-----------------------------------------------------
Last Update Date | 01/01/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 43950 MARGARITA RD STE H
-----------------------------------------------------
City | TEMECULA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92592-2732
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 760-936-6849
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 42691 GARCIA WAY
-----------------------------------------------------
City | TEMECULA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92592-6646
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 760-936-6849
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number | 13840
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------