Provider Demographics
NPI:1871277897
Name:DEMLOW, SARA E (MT-BC, NMT)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:E
Last Name:DEMLOW
Suffix:
Gender:F
Credentials:MT-BC, NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1748 WATERFALL VILLAGE DR SE APT D
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-3828
Mailing Address - Country:US
Mailing Address - Phone:678-857-9874
Mailing Address - Fax:
Practice Address - Street 1:1001 MACY DR
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-6335
Practice Address - Country:US
Practice Address - Phone:678-956-0993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMUT000248225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist