Provider Demographics
NPI:1558170381
Name:VAUGHAN, SARAH ADELE (DPT)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ADELE
Last Name:VAUGHAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:387 COUNTY ROAD 332
Mailing Address - Street 2:
Mailing Address - City:EUREKA SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72632-9563
Mailing Address - Country:US
Mailing Address - Phone:760-788-6744
Mailing Address - Fax:
Practice Address - Street 1:23 PARKCLIFF DR
Practice Address - Street 2:
Practice Address - City:HOLIDAY ISLAND
Practice Address - State:AR
Practice Address - Zip Code:72631-8045
Practice Address - Country:US
Practice Address - Phone:479-363-6422
Practice Address - Fax:479-363-6763
Is Sole Proprietor?:No
Enumeration Date:2025-01-06
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
AR5692225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program