Fultz, Sara Lynn

Fultz, Sara Lynn is an sole proprietor health care provider with primary practice located at 7796 Wolf Trail Cv Suite 102, Germantown TN 38138-1782. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Fultz, Sara Lynn can be contacted via phone (901) 624-5020.

Contact Information

Primary practice address
7796 Wolf Trail Cv Suite 102 Germantown TN 38138-1782
Phone: (901) 624-5020
Fax: (901) 624-5021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6730 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6462 Tennessee

Profile Details

NPI number 1295701142
LBN Legal business name Fultz, Sara Lynn
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2006
Last updated Jun 8th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295701142 NPPES
Arizona MEDICAID 015354

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