Healthcare Provider Details

I. General information

NPI: 1821923293
Provider Name (Legal Business Name): DAKEY SUPRIYA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5411 S ROUTT WAY
LITTLETON CO
80127-1612
US

IV. Provider business mailing address

5411 S ROUTT WAY
LITTLETON CO
80127-1612
US

V. Phone/Fax

Practice location:
  • Phone: 737-287-5741
  • Fax: 737-287-5741
Mailing address:
  • Phone: 737-287-5741
  • Fax: 737-287-5741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberACU.0003004
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: