Provider Demographics
NPI:1699529644
Name:FEES, SARAH RAE RIPPLE
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:RAE RIPPLE
Last Name:FEES
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 1:2221 POLK ST NE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55418-3713
Mailing Address - Country:US
Mailing Address - Phone:641-691-0554
Mailing Address - Fax:
Practice Address - Street 1:811 LASALLE AVE STE 212
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402-2032
Practice Address - Country:US
Practice Address - Phone:612-354-2697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist