Provider Demographics
NPI:1609044114
Name:DORSEY, JOHN PATRICK (CMT)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:PATRICK
Last Name:DORSEY
Suffix:
Gender:M
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 W SOUTH BOULDER RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-1289
Mailing Address - Country:US
Mailing Address - Phone:303-665-1224
Mailing Address - Fax:303-673-0218
Practice Address - Street 1:317 W SOUTH BOULDER RD
Practice Address - Street 2:SUITE 3
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-1289
Practice Address - Country:US
Practice Address - Phone:303-665-1224
Practice Address - Fax:303-673-0218
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist