Provider Demographics
NPI:1710254370
Name:SAUPE, KARIE G (COTA)
Entity Type:Individual
Prefix:
First Name:KARIE
Middle Name:G
Last Name:SAUPE
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 HOME ST
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-2802
Mailing Address - Country:US
Mailing Address - Phone:720-379-6001
Mailing Address - Fax:720-524-8814
Practice Address - Street 1:4001 HOME ST
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-2802
Practice Address - Country:US
Practice Address - Phone:720-379-6001
Practice Address - Fax:720-524-8814
Is Sole Proprietor?:No
Enumeration Date:2011-11-28
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AA592246174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist