Basic Information
| Provider Information | |||||||||
| NPI: | 1780225912 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ALBRIGHTON | ||||||||
| FirstName: | SALLY | ||||||||
| MiddleName: | JANE ENNIS | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | LMT | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 971 | ||||||||
| Address2: | |||||||||
| City: | INDIAN HILLS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 804540971 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7203524834 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3460 S SHERMAN ST STE 201 | ||||||||
| Address2: | |||||||||
| City: | ENGLEWOOD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801132674 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037814444 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/29/2019 | ||||||||
| LastUpdateDate: | 11/17/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 11/17/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225700000X | MT0016983 | CO | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist |
No ID Information.