Provider Demographics
NPI:1619264140
Name:BRADEN, CORY M (DPT)
Entity Type:Individual
Prefix:DR
First Name:CORY
Middle Name:M
Last Name:BRADEN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
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Mailing Address - Street 1:571 BRECKENRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-6085
Mailing Address - Country:US
Mailing Address - Phone:303-669-5831
Mailing Address - Fax:303-460-0387
Practice Address - Street 1:340 E 1ST AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-2401
Practice Address - Country:US
Practice Address - Phone:303-460-0329
Practice Address - Fax:303-460-0387
Is Sole Proprietor?:No
Enumeration Date:2011-07-05
Last Update Date:2011-07-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO112992251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic