Healthcare Provider Details

I. General information

NPI: 1841547882
Provider Name (Legal Business Name): SARAH BOSLEY GALLAGHER P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2012
Last Update Date: 10/17/2023
Certification Date: 10/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

495 UINTA WAY STE 100
DENVER CO
80230-7198
US

IV. Provider business mailing address

495 UINTA WAY STE 100
DENVER CO
80230-7198
US

V. Phone/Fax

Practice location:
  • Phone: 303-861-0057
  • Fax:
Mailing address:
  • Phone: 303-861-0057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number10016
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: