Provider Demographics
NPI:1215040662
Name:STRUESSEL, TAMARA SUE (DPT (PHYSICAL THERAP)
Entity Type:Individual
Prefix:DR
First Name:TAMARA
Middle Name:SUE
Last Name:STRUESSEL
Suffix:
Gender:F
Credentials:DPT (PHYSICAL THERAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PHYSIO PRO 3801 E. FLORIDA AVE STE 330
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210
Mailing Address - Country:US
Mailing Address - Phone:303-370-2670
Mailing Address - Fax:
Practice Address - Street 1:PHYSIO PRO 3801 E. FLORIDA AVE STE 330
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210
Practice Address - Country:US
Practice Address - Phone:303-370-2670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4211225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO4211OtherCOLORADO STATE PT LICENSE