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NPI Code Detail

MEDICARE: SARAH B. SHEA M.S.P.T.

MEDICARE: SARAH B. SHEA M.S.P.T.
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 Therapist5192CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1102255332OTHEROWCP FACILITY ID

General Provider Information

NPI Number : 1568474955
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH B. SHEA M.S.P.T.
Provider Business Mailing Address
First Line : 5300 DTC PKWY
Second Line : STE 200
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-3023
Country : US
Telephone Number : 720-306-8261
Fax Number : 720-306-8231
Provider Business Practice Location Address
First Line : 5300 DTC PKWY
Second Line : STE 200
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-3023
Country : US
Telephone Number : 720-306-8261
Fax Number : 720-306-8231
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2006
Last Update Date : 10/10/2012

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