Provider Demographics
NPI:1013385525
Name:HANNEY, DRUE ELIZABETH (PT)
Entity Type:Individual
Prefix:MRS
First Name:DRUE
Middle Name:ELIZABETH
Last Name:HANNEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6385 CORPORATE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80919-5901
Mailing Address - Country:US
Mailing Address - Phone:719-216-3811
Mailing Address - Fax:844-207-6957
Practice Address - Street 1:6385 CORPORATE DR STE 100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80919-5901
Practice Address - Country:US
Practice Address - Phone:719-216-3811
Practice Address - Fax:844-207-6957
Is Sole Proprietor?:No
Enumeration Date:2015-09-14
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO68572251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics