Provider Demographics
NPI:1215017264
Name:SEHR, LARAE J (PT)
Entity Type:Individual
Prefix:
First Name:LARAE
Middle Name:J
Last Name:SEHR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3235 MUSKRAT CREEK DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-7027
Mailing Address - Country:US
Mailing Address - Phone:320-492-9368
Mailing Address - Fax:
Practice Address - Street 1:1455 MAIN ST
Practice Address - Street 2:STE. 170
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-5559
Practice Address - Country:US
Practice Address - Phone:970-674-8011
Practice Address - Fax:970-674-8051
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0010699225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN385SOSEOtherBLUE CROSS BLUE SHIELD
MNHP36011OtherHEALTHPARTNERS
MNP00024073OtherRAILROAD MEDICARE
MN64-03523OtherMEDICA AND SELECT CARE