Provider Demographics
NPI:1114336492
Name:PATRICIA CULPEPPER RPT
Entity Type:Organization
Organization Name:PATRICIA CULPEPPER RPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:DANIELA
Authorized Official - Last Name:CULPEPPER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:720-280-4444
Mailing Address - Street 1:7100 W 44TH AVE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-4747
Mailing Address - Country:US
Mailing Address - Phone:720-280-4444
Mailing Address - Fax:
Practice Address - Street 1:7100 W 44TH AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-4747
Practice Address - Country:US
Practice Address - Phone:720-280-4444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-12
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4215261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy