Provider Demographics
NPI:1366460792
Name:LAMBRECHT, SHAWNA MICHELLE (PT)
Entity Type:Individual
Prefix:
First Name:SHAWNA
Middle Name:MICHELLE
Last Name:LAMBRECHT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SHAWNA
Other - Middle Name:MICHELLE
Other - Last Name:RIPPMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11611 KEARNEY WAY
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80233
Mailing Address - Country:US
Mailing Address - Phone:414-232-2990
Mailing Address - Fax:
Practice Address - Street 1:4790 TABLE MESA DR
Practice Address - Street 2:SUITE 200
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80305
Practice Address - Country:US
Practice Address - Phone:303-447-2873
Practice Address - Fax:303-447-2741
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9222225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist