Doctor Name: | CASSONDRA SACKE |
NPI Number: | 1912250028 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CMT |
License Number: | 10081 |
Business Practice Address: | 7000 W 120th Ave Ste A Broomfield, CO - 800202824 |
Business Phone Number: | 3034516706 |
Business Fax Number: | |
Mailing Address: | 2100 W 100th Ave Lot 175, THORNTON |
State: | CO |
Postal Code: | 802605915 |
Phone Number: | 3039602240 |
Fax Number: | |
NPI Enumeration Date: | 10/26/2012 |
NPI Last Update Date: | 10/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 10081 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |