Healthcare Provider Details

I. General information

NPI: 1356269013
Provider Name (Legal Business Name): SARAH WILMORE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1573 S CATAWBA CIR
AURORA CO
80018-6012
US

IV. Provider business mailing address

510 BARRETT ST
SULPHUR LA
70663-2316
US

V. Phone/Fax

Practice location:
  • Phone: 720-473-9791
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number0015541
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: