Provider Demographics
NPI:1407271570
Name:CAKE, MEREDITH (PTA)
Entity Type:Individual
Prefix:MS
First Name:MEREDITH
Middle Name:
Last Name:CAKE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:MRS
Other - First Name:MEREDITH
Other - Middle Name:
Other - Last Name:KURTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1241 S WELCH CIR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-3658
Mailing Address - Country:US
Mailing Address - Phone:303-919-1957
Mailing Address - Fax:
Practice Address - Street 1:1241 S WELCH CIR
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-3658
Practice Address - Country:US
Practice Address - Phone:303-919-1957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-26
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTA.0013240225200000X
AZ10525APTA225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant