Provider Demographics
NPI:1093380495
Name:CAIN, MARISSA (DPT)
Entity Type:Individual
Prefix:DR
First Name:MARISSA
Middle Name:
Last Name:CAIN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3550 W 38TH AVE APT 329
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-1855
Mailing Address - Country:US
Mailing Address - Phone:617-240-3384
Mailing Address - Fax:
Practice Address - Street 1:3550 W 38TH AVE APT 329
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-1855
Practice Address - Country:US
Practice Address - Phone:617-240-3384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic