Provider Demographics
NPI:1811631823
Name:TRENT, SARAH J HAYAS (LMT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:J HAYAS
Last Name:TRENT
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:HAYAS
Other - Last Name:TRENT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:2765 CLAIRMOUNT DR
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-3102
Mailing Address - Country:US
Mailing Address - Phone:989-297-3679
Mailing Address - Fax:
Practice Address - Street 1:3216 CHRISTY WAY S STE 3
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-2214
Practice Address - Country:US
Practice Address - Phone:989-375-1592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-25
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7501014501225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist