Provider Demographics
NPI:1518152248
Name:GEDDES, DENISE ELLEN (CMT/CLT)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:ELLEN
Last Name:GEDDES
Suffix:
Gender:F
Credentials:CMT/CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1376
Mailing Address - Street 2:
Mailing Address - City:OURAY
Mailing Address - State:CO
Mailing Address - Zip Code:81427-1376
Mailing Address - Country:US
Mailing Address - Phone:970-261-2308
Mailing Address - Fax:970-626-5417
Practice Address - Street 1:22327 S HWY 550
Practice Address - Street 2:
Practice Address - City:RIDGWAY
Practice Address - State:CO
Practice Address - Zip Code:81432
Practice Address - Country:US
Practice Address - Phone:970-261-2308
Practice Address - Fax:970-626-5417
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-06
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist