Healthcare Provider Details

I. General information

NPI: 1720341936
Provider Name (Legal Business Name): SHARON MARCUS CMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHARON BRODSKY LMT

II. Dates (important events)

Enumeration Date: 06/21/2012
Last Update Date: 06/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

980 GRANT ST 100
DENVER CO
80203-2907
US

IV. Provider business mailing address

1438 LITTLE RAVEN ST UNIT 101
DENVER CO
80202-6210
US

V. Phone/Fax

Practice location:
  • Phone: 303-832-3668
  • Fax: 303-861-1403
Mailing address:
  • Phone: 516-849-0537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number2735
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: