Provider Demographics
NPI:1669170833
Name:KRAKOFF, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:KRAKOFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40345 RIVERBEND TRL
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-8986
Mailing Address - Country:US
Mailing Address - Phone:614-296-5358
Mailing Address - Fax:
Practice Address - Street 1:690 MARKETPLACE PLZ UNIT B5
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-1804
Practice Address - Country:US
Practice Address - Phone:970-819-6252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTA.0015283225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant