Provider Demographics
NPI:1598254351
Name:GETTEL, SYDNEY CLAIRE (PA-C, PTA)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:CLAIRE
Last Name:GETTEL
Suffix:
Gender:F
Credentials:PA-C, PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1435 GARRISON ST STE 110
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-4748
Mailing Address - Country:US
Mailing Address - Phone:207-724-3668
Mailing Address - Fax:
Practice Address - Street 1:1435 GARRISON ST STE 110
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-4748
Practice Address - Country:US
Practice Address - Phone:720-724-3668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-08
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0013888225200000X
COPA.0007893363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant