Provider Demographics
NPI:1134821994
Name:SABATINI, GWENDOLYN NICHOLE (CCRP-CEP, BHC)
Entity type:Individual
Prefix:
First Name:GWENDOLYN
Middle Name:NICHOLE
Last Name:SABATINI
Suffix:
Gender:F
Credentials:CCRP-CEP, BHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 LOOP DR
Mailing Address - Street 2:
Mailing Address - City:HOWARD
Mailing Address - State:CO
Mailing Address - Zip Code:81233-9648
Mailing Address - Country:US
Mailing Address - Phone:913-259-9972
Mailing Address - Fax:
Practice Address - Street 1:1000 RUSH DR.
Practice Address - Street 2:CARDIOVASCULAR & PULMONARY REHABILITATION
Practice Address - City:SALIDA
Practice Address - State:CO
Practice Address - Zip Code:81201
Practice Address - Country:US
Practice Address - Phone:719-530-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTIAACVPR00000261687224Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist