Provider Demographics
NPI:1558698506
Name:TASLER, DANA LEE (CST/CFA)
Entity Type:Individual
Prefix:MR
First Name:DANA
Middle Name:LEE
Last Name:TASLER
Suffix:
Gender:M
Credentials:CST/CFA
Other - Prefix:MR
Other - First Name:DANA
Other - Middle Name:L
Other - Last Name:MAYHUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CST/CFA
Mailing Address - Street 1:2500 E PROSPECT RD
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-9718
Mailing Address - Country:US
Mailing Address - Phone:970-493-0112
Mailing Address - Fax:
Practice Address - Street 1:2500 E PROSPECT RD
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-9718
Practice Address - Country:US
Practice Address - Phone:970-493-0112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-12
Last Update Date:2014-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSA.0001178246ZX2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZX2200XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherOrthopedic Assistant