Provider Demographics
NPI:1548427784
Name:SYSON, CATHERINE EMMA
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:EMMA
Last Name:SYSON
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:EMMA
Other - Last Name:ALBGATE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:274 UNION BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1813
Mailing Address - Country:US
Mailing Address - Phone:303-232-9391
Mailing Address - Fax:303-232-9523
Practice Address - Street 1:274 UNION BLVD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1813
Practice Address - Country:US
Practice Address - Phone:303-232-9391
Practice Address - Fax:303-232-9523
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-16
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4412225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist