Healthcare Provider Details

I. General information

NPI: 1124955679
Provider Name (Legal Business Name): SASHA ROSE PLESKOV
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24551 E 1ST PL
AURORA CO
80018-1633
US

IV. Provider business mailing address

5373 S VALDAI WAY
AURORA CO
80015-6544
US

V. Phone/Fax

Practice location:
  • Phone: 303-643-3757
  • Fax:
Mailing address:
  • Phone: 303-325-6471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: