Healthcare Provider Details

I. General information

NPI: 1326269143
Provider Name (Legal Business Name): SARAH DENEE GRAFF
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH DENEE SMITH PT

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 08/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 S GARFIELD AVE
LOVELAND CO
80537-7377
US

IV. Provider business mailing address

3621 HIGGINS ST
LOVELAND CO
80538-4958
US

V. Phone/Fax

Practice location:
  • Phone: 970-669-3100
  • Fax:
Mailing address:
  • Phone: 970-916-8358
  • Fax: 970-916-8358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number1136000
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number9967
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: