Provider Demographics
NPI:1215194378
Name:PRATO, SARA MARIE (RDN, CD, LMP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:MARIE
Last Name:PRATO
Suffix:
Gender:F
Credentials:RDN, CD, LMP
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:MARIE
Other - Last Name:BARRETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN, CD, LMP
Mailing Address - Street 1:10426 SKY POND LN
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80924-4513
Mailing Address - Country:US
Mailing Address - Phone:707-832-8407
Mailing Address - Fax:
Practice Address - Street 1:7750 N UNION BLVD STE 200
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-4051
Practice Address - Country:US
Practice Address - Phone:719-445-6400
Practice Address - Fax:719-445-6405
Is Sole Proprietor?:No
Enumeration Date:2008-05-16
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI 60129238133V00000X
WAMA60012489225700000X
1003914133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist