Provider Demographics
NPI:1053460618
Name:DENEEN, LINDSEY ANN (MSPT)
Entity Type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:ANN
Last Name:DENEEN
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:ANN
Other - Last Name:NESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:2695 NORTHPARK DR STE 102
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-3177
Mailing Address - Country:US
Mailing Address - Phone:303-926-1796
Mailing Address - Fax:303-604-0424
Practice Address - Street 1:2695 NORTHPARK DR STE 102
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-3177
Practice Address - Country:US
Practice Address - Phone:303-926-1796
Practice Address - Fax:303-604-0424
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8202225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
544978Medicare ID - Type Unspecified