Provider Demographics
NPI:1376294256
Name:HUNTER, SARAH AUDREY DIANNE
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:AUDREY DIANNE
Last Name:HUNTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12426 YORK ST
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80241-2741
Mailing Address - Country:US
Mailing Address - Phone:303-598-1999
Mailing Address - Fax:720-664-7735
Practice Address - Street 1:12426 YORK ST
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80241-2741
Practice Address - Country:US
Practice Address - Phone:303-598-1999
Practice Address - Fax:720-664-7735
Is Sole Proprietor?:No
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0008475111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor