Provider Demographics
NPI:1548534928
Name:ZDROIK, SARAH L (MS, ATC, LAT)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:L
Last Name:ZDROIK
Suffix:
Gender:F
Credentials:MS, ATC, LAT
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:L
Other - Last Name:LISOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, ATC, LAT
Mailing Address - Street 1:745 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:WI
Mailing Address - Zip Code:53094-7638
Mailing Address - Country:US
Mailing Address - Phone:708-431-6749
Mailing Address - Fax:
Practice Address - Street 1:745 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:WI
Practice Address - Zip Code:53094-7638
Practice Address - Country:US
Practice Address - Phone:708-431-6749
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-01
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1121-392255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer