Provider Demographics
NPI:1669340394
Name:LADWIG, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:LADWIG
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 1:1385 COUNTRY CLUB LN
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:KY
Mailing Address - Zip Code:42347-9747
Mailing Address - Country:US
Mailing Address - Phone:270-925-5412
Mailing Address - Fax:
Practice Address - Street 1:1385 COUNTRY CLUB LN
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:KY
Practice Address - Zip Code:42347-9747
Practice Address - Country:US
Practice Address - Phone:270-925-5412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-24
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYM96873587222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist