Provider Demographics
NPI:1518101054
Name:SACHS, TRACY ELLEN (DPT)
Entity Type:Individual
Prefix:DR
First Name:TRACY
Middle Name:ELLEN
Last Name:SACHS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:TRACY
Other - Middle Name:ELLEN
Other - Last Name:KAZIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:7402 S MOBILE ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-1464
Mailing Address - Country:US
Mailing Address - Phone:303-905-9755
Mailing Address - Fax:
Practice Address - Street 1:7402 S MOBILE ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-1464
Practice Address - Country:US
Practice Address - Phone:303-905-9755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-28
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10222225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist