Provider Demographics
NPI:1770930539
Name:ZIMMER, SARAH K
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:K
Last Name:ZIMMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:RIEDEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:W10614 ROSE ELD RD
Mailing Address - Street 2:
Mailing Address - City:ROSENDALE
Mailing Address - State:WI
Mailing Address - Zip Code:54974-9614
Mailing Address - Country:US
Mailing Address - Phone:920-517-3234
Mailing Address - Fax:
Practice Address - Street 1:200 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ROSENDALE
Practice Address - State:WI
Practice Address - Zip Code:54974-9642
Practice Address - Country:US
Practice Address - Phone:920-872-2151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-20
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4278-154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist