Healthcare Provider Details

I. General information

NPI: 1952511289
Provider Name (Legal Business Name): SARAH BOOTH FITZPATRICK MSPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 PLAZA DR
LOUISVILLE CO
80027-2325
US

IV. Provider business mailing address

6272 PERRY ST
ARVADA CO
80003-6731
US

V. Phone/Fax

Practice location:
  • Phone: 303-926-3849
  • Fax: 303-604-6573
Mailing address:
  • Phone: 303-657-2459
  • Fax: 303-604-6573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number7214
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: