Provider Demographics
NPI:1760985394
Name:MEARS, SAKSHI (LAC)
Entity Type:Individual
Prefix:
First Name:SAKSHI
Middle Name:
Last Name:MEARS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 S CLARKSON ST APT 607
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-2147
Mailing Address - Country:US
Mailing Address - Phone:319-321-9244
Mailing Address - Fax:
Practice Address - Street 1:1127 N PENNSYLVANIA ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-2502
Practice Address - Country:US
Practice Address - Phone:720-465-4325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-09
Last Update Date:2018-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACU.0002337171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist