Provider Demographics
NPI:1487835039
Name:ALBERT, SEPHRA (CMT)
Entity type:Individual
Prefix:
First Name:SEPHRA
Middle Name:
Last Name:ALBERT
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 1:2935 BASELINE RD STE 300
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-2367
Mailing Address - Country:US
Mailing Address - Phone:303-444-2951
Mailing Address - Fax:303-444-4779
Practice Address - Street 1:2935 BASELINE RD STE 300
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-2367
Practice Address - Country:US
Practice Address - Phone:303-444-2951
Practice Address - Fax:303-444-4779
Is Sole Proprietor?:No
Enumeration Date:2007-11-23
Last Update Date:2007-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist