Provider Demographics
NPI:1730979378
Name:QUAYLE, SARAH TRUJILLO (LMT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:TRUJILLO
Last Name:QUAYLE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:16956 E PIEDMONT DR UNIT E
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-1858
Mailing Address - Country:US
Mailing Address - Phone:303-807-2242
Mailing Address - Fax:
Practice Address - Street 1:1610 E GIRARD PL STE 111
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3100
Practice Address - Country:US
Practice Address - Phone:303-807-2242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT.0014733225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist