Provider Demographics
NPI:1508530791
Name:MAPES, NICOLE M (PT, DPT, MPH)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:M
Last Name:MAPES
Suffix:
Gender:F
Credentials:PT, DPT, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 S 4TH AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-6809
Mailing Address - Country:US
Mailing Address - Phone:720-689-5637
Mailing Address - Fax:
Practice Address - Street 1:1321 S 4TH AVE STE 200
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-6809
Practice Address - Country:US
Practice Address - Phone:720-689-5637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-03
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist