Provider Demographics
NPI:1225368707
Name:SCHERER, SUSAN (PT, PHD)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:SCHERER
Suffix:
Gender:F
Credentials:PT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4681 S PERRY WAY
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80236-3527
Mailing Address - Country:US
Mailing Address - Phone:303-964-5252
Mailing Address - Fax:303-964-5474
Practice Address - Street 1:3333 REGIS BLVD
Practice Address - Street 2:G-4
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80221-1154
Practice Address - Country:US
Practice Address - Phone:303-964-5252
Practice Address - Fax:303-964-5474
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-06
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1763225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist