Provider Demographics
NPI:1225036536
Name:MONNET, MAUD VALERIE (PT)
Entity Type:Individual
Prefix:MRS
First Name:MAUD
Middle Name:VALERIE
Last Name:MONNET
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 1:3744 S TIMBERLINE RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-4333
Mailing Address - Country:US
Mailing Address - Phone:970-204-4263
Mailing Address - Fax:970-204-4552
Practice Address - Street 1:3744 S TIMBERLINE RD
Practice Address - Street 2:SUITE 103
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-4333
Practice Address - Country:US
Practice Address - Phone:970-204-4263
Practice Address - Fax:970-204-4552
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3767225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO28382064Medicaid
CO531968Medicare PIN