Provider Demographics
NPI:1457462210
Name:MARRERO, ADRIAN NOEL (DPT)
Entity Type:Individual
Prefix:MR
First Name:ADRIAN
Middle Name:NOEL
Last Name:MARRERO
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18TH MDG
Mailing Address - Street 2:UNIT 5142
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:96368
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:18TH MDG
Practice Address - Street 2:UNIT 5142
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:96368
Practice Address - Country:US
Practice Address - Phone:719-650-9746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9284225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist