Provider Demographics
NPI:1700228988
Name:NEITZEL, SARAH A (DPM)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:A
Last Name:NEITZEL
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:NEITZEL DPM PLLC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:11300 RIDGE RIM TRL SE
Mailing Address - Street 2:ATTN SARAH NEITZEL DPM PLLC
Mailing Address - City:PORT ORCHARD
Mailing Address - State:WA
Mailing Address - Zip Code:98367-7209
Mailing Address - Country:US
Mailing Address - Phone:509-339-3783
Mailing Address - Fax:
Practice Address - Street 1:2416 NW MYHRE RD # 160
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-7673
Practice Address - Country:US
Practice Address - Phone:360-286-0404
Practice Address - Fax:360-859-0333
Is Sole Proprietor?:No
Enumeration Date:2013-07-29
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPO60525307213ES0103X
IL135000777213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery