Provider Demographics
NPI:1841091790
Name:SACKHEIM, ISABELLA GRACE (MS)
Entity type:Individual
Prefix:
First Name:ISABELLA
Middle Name:GRACE
Last Name:SACKHEIM
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4533 TENNYSON ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-2579
Mailing Address - Country:US
Mailing Address - Phone:720-468-1791
Mailing Address - Fax:
Practice Address - Street 1:17601 S GOLDEN RD # B
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-2666
Practice Address - Country:US
Practice Address - Phone:303-969-0884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist