Provider Demographics
NPI:1568998060
Name:FUNK, SHARON M (PT, DPT)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:M
Last Name:FUNK
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:A
Other - Last Name:FUNK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:13199 E MONTVIEW BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-7202
Mailing Address - Country:US
Mailing Address - Phone:303-724-0369
Mailing Address - Fax:303-724-0947
Practice Address - Street 1:13199 E MONTVIEW BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7202
Practice Address - Country:US
Practice Address - Phone:303-724-0369
Practice Address - Fax:303-724-0947
Is Sole Proprietor?:No
Enumeration Date:2017-05-04
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1292225100000X
MT769225100000X
IN05012265A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist