Provider Demographics
NPI:1003346487
Name:FIERO-AKSELSEN, PETRI (LMT)
Entity Type:Individual
Prefix:
First Name:PETRI
Middle Name:
Last Name:FIERO-AKSELSEN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1994 S ZUNI ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80223-3838
Mailing Address - Country:US
Mailing Address - Phone:303-596-9673
Mailing Address - Fax:
Practice Address - Street 1:1555 DOVER ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-3105
Practice Address - Country:US
Practice Address - Phone:303-987-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-18
Last Update Date:2017-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT.0017491225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist