Provider Demographics
NPI:1326351438
Name:PASLEY, SARA KIMBERLY
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:KIMBERLY
Last Name:PASLEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1336 E KNOX ST
Mailing Address - Street 2:
Mailing Address - City:GALESBURG
Mailing Address - State:IL
Mailing Address - Zip Code:61401-5255
Mailing Address - Country:US
Mailing Address - Phone:217-653-8132
Mailing Address - Fax:217-481-8727
Practice Address - Street 1:1336 E KNOX ST
Practice Address - Street 2:
Practice Address - City:GALESBURG
Practice Address - State:IL
Practice Address - Zip Code:61401-5255
Practice Address - Country:US
Practice Address - Phone:217-653-8132
Practice Address - Fax:217-481-8727
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-17
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist