Provider Demographics
NPI:1528940152
Name:SALYER, SARA B (REGISTERED DIETITIAN)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:B
Last Name:SALYER
Suffix:
Gender:F
Credentials:REGISTERED DIETITIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2603 S COUNTY ROAD 200 W
Mailing Address - Street 2:
Mailing Address - City:VERSAILLES
Mailing Address - State:IN
Mailing Address - Zip Code:47042-8908
Mailing Address - Country:US
Mailing Address - Phone:812-621-1923
Mailing Address - Fax:
Practice Address - Street 1:279 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:IN
Practice Address - Zip Code:47006-8917
Practice Address - Country:US
Practice Address - Phone:812-621-1923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN86046142133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered