Provider Demographics
NPI:1710787403
Name:MARSHALL, SARAH (CT, AADP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MARSHALL
Suffix:
Gender:
Credentials:CT, AADP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:MARSHALL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CT, AADP
Mailing Address - Street 1:22200 W 11 MILE RD UNIT 3374
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48037-7095
Mailing Address - Country:US
Mailing Address - Phone:248-416-2200
Mailing Address - Fax:
Practice Address - Street 1:31800 NORTHWESTERN HWY STE 120
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-1663
Practice Address - Country:US
Practice Address - Phone:248-416-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No174H00000XOther Service ProvidersHealth Educator
No171400000XOther Service ProvidersHealth & Wellness Coach
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No172V00000XOther Service ProvidersCommunity Health Worker