Provider Demographics
NPI:1629583687
Name:IAFRATE, SARA E (MT)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:E
Last Name:IAFRATE
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 E BEAVER CREEK BLVD # 106B
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CO
Mailing Address - Zip Code:81620-5414
Mailing Address - Country:US
Mailing Address - Phone:970-949-0444
Mailing Address - Fax:970-949-0883
Practice Address - Street 1:150 E BEAVER CREEK BLVD # 106B
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:CO
Practice Address - Zip Code:81620-5414
Practice Address - Country:US
Practice Address - Phone:970-949-0444
Practice Address - Fax:970-949-0883
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-12
Last Update Date:2017-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist