Provider Demographics
NPI:1548844731
Name:HARDISON, SARAH CORINNE (DPT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:CORINNE
Last Name:HARDISON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2008 LONE TREE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:WESTCLIIFE
Mailing Address - State:CO
Mailing Address - Zip Code:81252
Mailing Address - Country:US
Mailing Address - Phone:805-990-5493
Mailing Address - Fax:
Practice Address - Street 1:2008 LONE TREE CIRCLE
Practice Address - Street 2:
Practice Address - City:WESTCLIIFE
Practice Address - State:CO
Practice Address - Zip Code:81252
Practice Address - Country:US
Practice Address - Phone:805-990-5493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-12
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00173762251S0007X, 225100000X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic