Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 2128 | CO |
NPI | 1013234814 |
---|---|
Provider Name | Daniel Sadler |
First Address | Littleton, CO 80127-3724 |
Second Address | Littleton, CO 80127-3724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2010 |
Last Update Date | 03/05/2010 |