Provider Demographics
NPI:1699980904
Name:SCHAFER, MARTHA (CMT)
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:
Last Name:SCHAFER
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 S MONACO PKWY
Mailing Address - Street 2:#1
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-2050
Mailing Address - Country:US
Mailing Address - Phone:303-778-1131
Mailing Address - Fax:303-778-0809
Practice Address - Street 1:405 S PLATTE RIVER DR
Practice Address - Street 2:STE 1B
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80223-2069
Practice Address - Country:US
Practice Address - Phone:303-778-1131
Practice Address - Fax:303-778-0809
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist