Healthcare Provider Details

I. General information

NPI: 1174886154
Provider Name (Legal Business Name): SARAH KATHRYN ZUMWINKEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2012
Last Update Date: 06/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8725 WADSWORTH BLVD
ARVADA CO
80003-0928
US

IV. Provider business mailing address

8725 WADSWORTH BLVD
ARVADA CO
80003-0928
US

V. Phone/Fax

Practice location:
  • Phone: 303-503-0444
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number8670
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: