Provider Demographics
NPI:1225419781
Name:KELLEY-SPEARING, SARAH (DO)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:KELLEY-SPEARING
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 341
Mailing Address - Street 2:
Mailing Address - City:RICO
Mailing Address - State:CO
Mailing Address - Zip Code:81332-0341
Mailing Address - Country:US
Mailing Address - Phone:802-760-7745
Mailing Address - Fax:
Practice Address - Street 1:ROCKY MOUNTAIN INTEGRATIVE MEDICINE
Practice Address - Street 2:160 S. AMELIA ST.
Practice Address - City:RIDGWAY
Practice Address - State:CO
Practice Address - Zip Code:81432
Practice Address - Country:US
Practice Address - Phone:970-316-3645
Practice Address - Fax:667-239-6078
Is Sole Proprietor?:No
Enumeration Date:2015-06-10
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0059824207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine