Provider Demographics
NPI:1356654826
Name:MUELLER, ANITA MARIA (PT)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:MARIA
Last Name:MUELLER
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 1:12297 PENNSYLVANIA ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80241-3165
Mailing Address - Country:US
Mailing Address - Phone:303-252-9400
Mailing Address - Fax:303-255-9555
Practice Address - Street 1:12297 PENNSYLVANIA ST
Practice Address - Street 2:SUITE 3
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80241-3165
Practice Address - Country:US
Practice Address - Phone:303-252-9400
Practice Address - Fax:303-255-9555
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10877225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist