Provider Demographics
NPI:1174879324
Name:SAWYER, MALIA NR (DPT)
Entity type:Individual
Prefix:DR
First Name:MALIA
Middle Name:NR
Last Name:SAWYER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:MALIA
Other - Middle Name:NR
Other - Last Name:JENSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1805 S. BELLAIRE ST. STE 235
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222
Mailing Address - Country:US
Mailing Address - Phone:303-756-3388
Mailing Address - Fax:303-756-3399
Practice Address - Street 1:1805 S. BELLAIRE ST. STE 235
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222
Practice Address - Country:US
Practice Address - Phone:303-756-3388
Practice Address - Fax:303-756-3399
Is Sole Proprietor?:No
Enumeration Date:2012-07-25
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
CO0011804225100000X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist