Provider Demographics
NPI:1295981660
Name:SARRATT, CHRISTINE ALEATA (PT)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:ALEATA
Last Name:SARRATT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9909 S VIEW DR
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756-8115
Mailing Address - Country:US
Mailing Address - Phone:479-936-8963
Mailing Address - Fax:479-631-3513
Practice Address - Street 1:212 S 3RD ST
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-4547
Practice Address - Country:US
Practice Address - Phone:479-631-3515
Practice Address - Fax:479-631-3513
Is Sole Proprietor?:No
Enumeration Date:2008-08-17
Last Update Date:2008-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT 15182251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR131982721Medicaid