Provider Demographics
NPI:1427792217
Name:BECKWITH, SARAH CAITLIN
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:CAITLIN
Last Name:BECKWITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 PECAN VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72120-3260
Mailing Address - Country:US
Mailing Address - Phone:501-772-7169
Mailing Address - Fax:
Practice Address - Street 1:120 PECAN VALLEY DR
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:AR
Practice Address - Zip Code:72120-3260
Practice Address - Country:US
Practice Address - Phone:501-772-7169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer