Healthcare Provider Details

I. General information

NPI: 1245471135
Provider Name (Legal Business Name): SASSOON, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2009
Last Update Date: 03/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 S MADISON ST
DENVER CO
80209-3036
US

IV. Provider business mailing address

509 WILSON ST
LAFAYETTE CO
80026-2563
US

V. Phone/Fax

Practice location:
  • Phone: 720-212-1222
  • Fax: 720-242-6987
Mailing address:
  • Phone: 720-212-1222
  • Fax: 720-242-6987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4441
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number55591
License Number StateFL

VIII. Authorized Official

Name: MR. PATRICK SASSOON
Title or Position: CEO - THERAPIST
Credential: L.P.C.
Phone: 720-212-1222