Provider Demographics
NPI:1174818132
Name:SMITH, DADE SCHESLER (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:DADE
Middle Name:SCHESLER
Last Name:SMITH
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4871 S EVERETT ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-1869
Mailing Address - Country:US
Mailing Address - Phone:720-878-7410
Mailing Address - Fax:
Practice Address - Street 1:5387 MANHATTAN CIR STE 100A
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-4283
Practice Address - Country:US
Practice Address - Phone:303-543-7878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-17
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL-112592251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic