Provider Demographics
NPI:1417546961
Name:SACCUCCI, CHRISTEN (DC)
Entity Type:Individual
Prefix:
First Name:CHRISTEN
Middle Name:
Last Name:SACCUCCI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3349 W 20TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-5012
Mailing Address - Country:US
Mailing Address - Phone:630-430-0290
Mailing Address - Fax:
Practice Address - Street 1:13701 W JEWELL AVE STE 204
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-4173
Practice Address - Country:US
Practice Address - Phone:630-430-0290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0008301111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor