Provider Demographics
NPI:1215262068
Name:SKOLOUT, SARAH E (ND)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:E
Last Name:SKOLOUT
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 W 600 S STE 401
Mailing Address - Street 2:
Mailing Address - City:HEBER CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84032-2284
Mailing Address - Country:US
Mailing Address - Phone:206-992-3065
Mailing Address - Fax:
Practice Address - Street 1:345 W 600 S STE 401
Practice Address - Street 2:
Practice Address - City:HEBER CITY
Practice Address - State:UT
Practice Address - Zip Code:84032-2284
Practice Address - Country:US
Practice Address - Phone:206-992-3065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-13
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10350556-7100175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath