Provider Demographics
NPI:1639579816
Name:MANN, SARAH RE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:RE
Last Name:MANN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20074 W 94TH LN
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80007-7718
Mailing Address - Country:US
Mailing Address - Phone:303-709-6381
Mailing Address - Fax:303-256-0572
Practice Address - Street 1:13825 W. 85TH DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-5950
Practice Address - Country:US
Practice Address - Phone:720-524-4659
Practice Address - Fax:303-709-6381
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-26
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0011874225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO72356570Medicaid