Provider Demographics
NPI:1831580687
Name:VARGAS-SAYER, ISAURA (LMT)
Entity type:Individual
Prefix:
First Name:ISAURA
Middle Name:
Last Name:VARGAS-SAYER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:ISAURA
Other - Middle Name:
Other - Last Name:VARGAS-SAYER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMT
Mailing Address - Street 1:12205 PERRY ST LOT 164
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-5330
Mailing Address - Country:US
Mailing Address - Phone:720-656-8104
Mailing Address - Fax:
Practice Address - Street 1:29 N MAIN ST STE 109
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-1624
Practice Address - Country:US
Practice Address - Phone:720-656-8104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-16
Last Update Date:2024-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT-0007865225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist