MEDICARE: DAWNLIGHT ENTERPRISES

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
1	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1578425146
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAWNLIGHT ENTERPRISES

Provider Business Mailing Address
First Line	:	7860 E BERRY PL STE 110
Second Line	:
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-2326
Country	:	US
Telephone Number	:	303-630-9603
Fax Number	:

Provider Business Practice Location Address
First Line	:	7860 E BERRY PL STE 110
Second Line	:
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-2326
Country	:	US
Telephone Number	:	303-630-9603
Fax Number	:

Authorized Official
Title or Position	:	LICENSED MASSAGE THERAPIST
Name	:	SARRUT OUK
Credential	:	LMT
Telephone Number	:	303-630-9603

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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Directions to “DAWNLIGHT ENTERPRISES ” Practice Location

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