Provider Demographics
NPI:1487850087
Name:GUGGISBERG, JAIME LEE (DPT)
Entity Type:Individual
Prefix:MS
First Name:JAIME
Middle Name:LEE
Last Name:GUGGISBERG
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23577 E ROCKY TOP AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-7826
Mailing Address - Country:US
Mailing Address - Phone:720-839-1372
Mailing Address - Fax:
Practice Address - Street 1:23577 E ROCKY TOP AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-7826
Practice Address - Country:US
Practice Address - Phone:720-839-1372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8483225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO08424543Medicaid