Provider Demographics
NPI:1447411657
Name:ANTHONY, ANNE E (PT)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:E
Last Name:ANTHONY
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 1:9629 TIMBER HAWK CIR APT 25
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-7131
Mailing Address - Country:US
Mailing Address - Phone:480-313-6683
Mailing Address - Fax:
Practice Address - Street 1:9629 TIMBER HAWK CIR APT 25
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126-7131
Practice Address - Country:US
Practice Address - Phone:480-313-6683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9149225100000X
AZ6870225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist