Provider Demographics
NPI:1295006138
Name:D'ANGELO, JOY M (RRT)
Entity Type:Individual
Prefix:MS
First Name:JOY
Middle Name:M
Last Name:D'ANGELO
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1645 GATEHOUSE CIR N
Mailing Address - Street 2:#204
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80904-4961
Mailing Address - Country:US
Mailing Address - Phone:171-942-5654
Mailing Address - Fax:
Practice Address - Street 1:1645 GATEHOUSE CIR N
Practice Address - Street 2:#204
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904-4961
Practice Address - Country:US
Practice Address - Phone:171-942-5654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO31952279G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care