Healthcare Provider Details

I. General information

NPI: 1609195775
Provider Name (Legal Business Name): SARAH DEIGERT R.M.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2010
Last Update Date: 05/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6001 S WILLOW DR
GREENWOOD VILLAGE CO
80111-5111
US

IV. Provider business mailing address

8725 WADSWORTH BLVD UNIT A
WESTMINSTER CO
80003-0928
US

V. Phone/Fax

Practice location:
  • Phone: 303-425-7298
  • Fax: 303-940-8330
Mailing address:
  • Phone: 303-425-7298
  • Fax: 303-940-8330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number8812
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: