Provider Demographics
NPI:1861854598
Name:SENDERHAUF, CARRIE (LAC, DIPLOM)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:SENDERHAUF
Suffix:
Gender:F
Credentials:LAC, DIPLOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6130 PIERCE ST
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-5336
Mailing Address - Country:US
Mailing Address - Phone:720-660-7754
Mailing Address - Fax:
Practice Address - Street 1:420 N DOWNING ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-3921
Practice Address - Country:US
Practice Address - Phone:720-550-7953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACU.0002040171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist