Provider Demographics
NPI:1588030258
Name:MARIAS, LAUREN (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:
Last Name:MARIAS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 STEAMBOAT BLVD
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-3054
Mailing Address - Country:US
Mailing Address - Phone:970-396-9159
Mailing Address - Fax:
Practice Address - Street 1:55 STEAMBOAT BLVD
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-3054
Practice Address - Country:US
Practice Address - Phone:970-396-9159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.020853225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist