Healthcare Provider Details
I. General information
NPI: 1184560773
Provider Name (Legal Business Name): SANIQUE THERAPIES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6990 W 38TH AVE
WHEAT RIDGE CO
80033-4977
US
IV. Provider business mailing address
6990 W 38TH AVE
WHEAT RIDGE CO
80033-4977
US
V. Phone/Fax
- Phone: 303-525-4305
- Fax:
- Phone: 303-525-4305
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QH0100X |
| Taxonomy | Health Service Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
RACHEL
ALEANA
GARZA HAUKOOS
Title or Position: FNP-C, PMHNP-C
Credential: NP
Phone: 303-525-4305