Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251N0400X | Physical Therapist - Neurology | PTL0012825 | CO |
Y | 2251X0800X | Physical Therapist - Orthopedic | PTL0012825 | CO |
N | 225700000X | Massage Therapist | MA00024201 | WA |
NPI | 1093900185 |
---|---|
Provider Name | Miss Sara Kathrine Foster |
First Address | Salida, CO 81201-1545 |
Second Address | Salida, CO 81201-9627 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2007 |
Last Update Date | 14/04/2021 |