Healthcare Provider Details

I. General information

NPI: 1952829467
Provider Name (Legal Business Name): SARA LYNN MARRS DC, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS SARA LYNN BINDER

II. Dates (important events)

Enumeration Date: 09/05/2017
Last Update Date: 10/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12792 W ALAMEDA PKWY STE E
LAKEWOOD CO
80228-2846
US

IV. Provider business mailing address

12792 W ALAMEDA PKWY STE E
LAKEWOOD CO
80228-2846
US

V. Phone/Fax

Practice location:
  • Phone: 303-988-8823
  • Fax:
Mailing address:
  • Phone: 39-888-8233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number0007600
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0007600
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: