Provider Demographics
NPI:1497420582
Name:MATHY, ANNA LEIGH (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:LEIGH
Last Name:MATHY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ANNIE
Other - Middle Name:
Other - Last Name:MATHY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1374 S NIAGARA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-2020
Mailing Address - Country:US
Mailing Address - Phone:608-769-8106
Mailing Address - Fax:
Practice Address - Street 1:3102 S PARKER RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3176
Practice Address - Country:US
Practice Address - Phone:303-338-8598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-11
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTLP.0000213225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist