MEDICARE: DR. SARAH KING PT, DPT, CKTP, CFMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1271926	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1271926	OTHER	TX	STATE

General Provider Information

NPI Number	:	1215561709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH KING PT, DPT, CKTP, CFMT

Provider Business Mailing Address
First Line	:	2122 FORT WORTH HWY
Second Line	:
City	:	WEATHERFORD
State	:	TX
Zip	:	76086-4833
Country	:	US
Telephone Number	:	817-228-8322
Fax Number	:

Provider Business Practice Location Address
First Line	:	2110 FORT WORTH HWY
Second Line	:
City	:	WEATHERFORD
State	:	TX
Zip	:	76086-4833
Country	:	US
Telephone Number	:	817-697-7982
Fax Number	:	817-286-4255

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2020
Last Update Date	:	02/27/2023

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