Provider Demographics
NPI:1013026095
Name:CHENOWETH, CAROLYN ANNE (PT, DPT)
Entity Type:Individual
Prefix:MISS
First Name:CAROLYN
Middle Name:ANNE
Last Name:CHENOWETH
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:ANNE
Other - Last Name:DICARLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:5920 S. ESTES STREET
Mailing Address - Street 2:STE 100
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123
Mailing Address - Country:US
Mailing Address - Phone:303-932-2500
Mailing Address - Fax:303-932-2600
Practice Address - Street 1:5920 S. ESTES STREET
Practice Address - Street 2:STE 100
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123
Practice Address - Country:US
Practice Address - Phone:303-932-2500
Practice Address - Fax:303-932-2600
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO7412OtherLICENSE #