Doctor Name: | SARAH BETHANY FARDEN |
NPI Number: | 1124365028 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSED, ATC, NCMT |
License Number: | 0019007248 |
Business Practice Address: | 403 Grafton Dr Yorktown, VA - 236922173 |
Business Phone Number: | 3155911166 |
Business Fax Number: | 8553692612 |
Mailing Address: | 475 W Ocean View Ave, NORFOLK |
State: | VA |
Postal Code: | 235031413 |
Phone Number: | 3155911166 |
Fax Number: | 7572244618 |
NPI Enumeration Date: | 01/11/2013 |
NPI Last Update Date: | 01/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 0019007248 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |