Provider Demographics
NPI:1336282367
Name:POTTS, JANET S (PT)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:S
Last Name:POTTS
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:PO BOX 944
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80522-0944
Mailing Address - Country:US
Mailing Address - Phone:970-229-1617
Mailing Address - Fax:970-223-8184
Practice Address - Street 1:420 S HOWES ST STE B100
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80521-2871
Practice Address - Country:US
Practice Address - Phone:970-229-1617
Practice Address - Fax:970-223-8184
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2184225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist