Provider Demographics
NPI:1194951079
Name:HOPP, SARAH JEMIMA (LMP)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:JEMIMA
Last Name:HOPP
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20218 77TH AVE NE STE. A
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223
Mailing Address - Country:US
Mailing Address - Phone:360-435-3900
Mailing Address - Fax:360-435-1105
Practice Address - Street 1:20218 77TH AVE NE STE A
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223
Practice Address - Country:US
Practice Address - Phone:360-435-3900
Practice Address - Fax:360-435-1105
Is Sole Proprietor?:No
Enumeration Date:2009-06-04
Last Update Date:2015-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00024110225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist