Provider Demographics
NPI:1467698852
Name:VERWERS, JENNIFER M (PT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:M
Last Name:VERWERS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:M
Other - Last Name:BANKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7310 S ALTON WAY
Mailing Address - Street 2:STE 6L
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-2334
Mailing Address - Country:US
Mailing Address - Phone:303-629-0871
Mailing Address - Fax:303-628-0873
Practice Address - Street 1:1325 GLENARM PL
Practice Address - Street 2:SUITE B100
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-2114
Practice Address - Country:US
Practice Address - Phone:303-628-0871
Practice Address - Fax:303-628-0873
Is Sole Proprietor?:No
Enumeration Date:2009-01-06
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPT 10258225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCO303475Medicare PIN