Provider Demographics
NPI:1952059586
Name:VANPELT, SAPPHIRE (LMT)
Entity Type:Individual
Prefix:
First Name:SAPPHIRE
Middle Name:
Last Name:VANPELT
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32993 SNOWSHOE RD UNIT 4
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-7660
Mailing Address - Country:US
Mailing Address - Phone:720-900-8513
Mailing Address - Fax:
Practice Address - Street 1:27905 MEADOW DR
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-2110
Practice Address - Country:US
Practice Address - Phone:720-900-8513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT.0024681225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist