Provider Demographics
NPI:1205037447
Name:BRINDLE, JAYME (MSPT)
Entity Type:Individual
Prefix:
First Name:JAYME
Middle Name:
Last Name:BRINDLE
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 EAST ST
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-1946
Mailing Address - Country:US
Mailing Address - Phone:303-279-1285
Mailing Address - Fax:
Practice Address - Street 1:7200 S ALTON WAY STE B110
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-2263
Practice Address - Country:US
Practice Address - Phone:720-489-0790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8075225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist