Sarah Ann Dethloff, MS, ATC, LAT, CES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000015397 Issued in TX

Practice address

1200 Bobcat Blvd
Krum, TX 76249-6908

Phone

(940) 482-2611

NPI assigned

Oct 13, 2016

Last updated

Oct 13, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1316497449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 WITHERS WAY",
            "city": "KRUM",
            "state": "TX",
            "postal_code": "762496845",
            "telephone_number": "940-210-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BOBCAT BLVD",
            "city": "KRUM",
            "state": "TX",
            "postal_code": "762496908",
            "telephone_number": "940-482-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETHLOFF",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "credential": "MS, ATC, LAT, CES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT5502",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "2000015397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherish Your Health
• Boon P Chuah, MS, RD, LD
• City of Krum (Krum Fire Department)
• CNC-Courageous N Capable Counseling
• Connected Life Ventures
• Reagan Dickson
• Educare Community Living Corporation - Texas (All Ways Caring HomeCare)
• Educare Community Living Corporation - Texas (All Ways Caring HomeCare)
• Joanna Nicole Hawkins-Hudson, CSFA
• Nancy Karan Hawkins, LCSW

• Athletic Trainer in Krum, TX
• Providers in Krum, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.