Provider Demographics
NPI:1760734818
Name:MARRS, SARAH MAE (RD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:MAE
Last Name:MARRS
Suffix:
Gender:
Credentials:RD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:MAE
Other - Last Name:ROKUSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3192 BARTON RD
Mailing Address - Street 2:
Mailing Address - City:IRASBURG
Mailing Address - State:VT
Mailing Address - Zip Code:05845-9524
Mailing Address - Country:US
Mailing Address - Phone:586-321-1300
Mailing Address - Fax:
Practice Address - Street 1:3192 BARTON RD
Practice Address - Street 2:
Practice Address - City:IRASBURG
Practice Address - State:VT
Practice Address - Zip Code:05845-9524
Practice Address - Country:US
Practice Address - Phone:586-321-1300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-12
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1062375133V00000X
MI1062375133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered