Provider Demographics
NPI:1114073079
Name:REDMAN, ANNA M (CMT)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:M
Last Name:REDMAN
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14641 GARFIELD ST
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-7739
Mailing Address - Country:US
Mailing Address - Phone:303-280-6127
Mailing Address - Fax:
Practice Address - Street 1:2010 W 120TH AVE
Practice Address - Street 2:#100
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-2444
Practice Address - Country:US
Practice Address - Phone:303-280-6127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist