Basic Information
| Provider Information | |||||||||
| NPI: | 1932835626 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EGGLETON | ||||||||
| FirstName: | SARAH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1664 6429 CIR | ||||||||
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| City: | MONTROSE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 814037147 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7194606050 | ||||||||
| FaxNumber: | 9702495775 | ||||||||
| Practice Location | |||||||||
| Address1: | 5 HILLCREST PLAZA WAY | ||||||||
| Address2: | |||||||||
| City: | MONTROSE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 814015876 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9702496578 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/26/2022 | ||||||||
| LastUpdateDate: | 07/26/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/26/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225700000X | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist |
No ID Information.