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NPI Code Detail

MEDICARE: KATHERINE SAGE

MEDICARE:   KATHERINE  SAGE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPTL.0012714CO
22251G0304XGeriatric Physical TherapistPTL.0012714CO

General Provider Information

NPI Number : 1477960565
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE SAGE
Provider Business Mailing Address
First Line : 7405 W ARIZONA PL
Second Line :
City : LAKEWOOD
State : CO
Zip : 80232-5416
Country : US
Telephone Number : 701-400-5059
Fax Number :
Provider Business Practice Location Address
First Line : 7405 W ARIZONA PL
Second Line :
City : LAKEWOOD
State : CO
Zip : 80232-5416
Country : US
Telephone Number : 701-400-5059
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2014
Last Update Date : 12/03/2020

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Directions to “ KATHERINE SAGE ” Practice Location

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