Provider Demographics
NPI:1104381581
Name:NASH, SARA ROSE (ATC)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:ROSE
Last Name:NASH
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11250 FLORENCE ST UNIT 16D
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80640-9386
Mailing Address - Country:US
Mailing Address - Phone:303-921-7025
Mailing Address - Fax:
Practice Address - Street 1:11250 FLORENCE ST UNIT 16D
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80640-9386
Practice Address - Country:US
Practice Address - Phone:303-921-7025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-09
Last Update Date:2019-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer