Provider Demographics
NPI:1447578588
Name:DOVEY, DAVID T (MS ATC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:T
Last Name:DOVEY
Suffix:
Gender:M
Credentials:MS ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:918 GROVE DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-1073
Mailing Address - Country:US
Mailing Address - Phone:303-665-3967
Mailing Address - Fax:303-665-1127
Practice Address - Street 1:918 GROVE DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-1073
Practice Address - Country:US
Practice Address - Phone:303-665-3967
Practice Address - Fax:303-665-1127
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-13
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO562172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker