Provider Demographics
NPI:1023223674
Name:SANGER MANUAL THERAPY SPECIALIST, LLC
Entity Type:Organization
Organization Name:SANGER MANUAL THERAPY SPECIALIST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CALL-SANGER
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:303-778-0809
Mailing Address - Street 1:14001 E ILIFF AVE
Mailing Address - Street 2:#118
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1405
Mailing Address - Country:US
Mailing Address - Phone:303-306-1400
Mailing Address - Fax:303-778-0809
Practice Address - Street 1:14001 E ILIFF AVE
Practice Address - Street 2:#118
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1405
Practice Address - Country:US
Practice Address - Phone:303-306-1400
Practice Address - Fax:303-778-0809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6786174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO805181Medicare ID - Type Unspecified