Provider Demographics
NPI:1144349598
Name:RADABAUGH, SARAH ELIZABETH (DC)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ELIZABETH
Last Name:RADABAUGH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:614 S 12TH ST
Mailing Address - Street 2:
Mailing Address - City:WORLAND
Mailing Address - State:WY
Mailing Address - Zip Code:82401-4007
Mailing Address - Country:US
Mailing Address - Phone:307-347-3500
Mailing Address - Fax:307-347-4893
Practice Address - Street 1:614 S 12TH ST
Practice Address - Street 2:
Practice Address - City:WORLAND
Practice Address - State:WY
Practice Address - Zip Code:82401-4007
Practice Address - Country:US
Practice Address - Phone:307-347-3500
Practice Address - Fax:307-347-4893
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY670111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor