MEDICARE: SARAH SURAD

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	MT.0024155	CO

General Provider Information

NPI Number	:	1659043362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH SURAD

Provider Business Mailing Address
First Line	:	415 LARK CT
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81504-2414
Country	:	US
Telephone Number	:	970-417-5119
Fax Number	:

Provider Business Practice Location Address
First Line	:	415 LARK COURT
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81504
Country	:	US
Telephone Number	:	970-417-5119
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2021
Last Update Date	:	01/18/2026

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Directions to “ SARAH SURAD ” Practice Location

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