Provider Demographics
NPI:1629166848
Name:CHER, LAURA BETH (PT)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:BETH
Last Name:CHER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5161 E. ARAPAHOE RD.
Mailing Address - Street 2:STE 250
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122
Mailing Address - Country:US
Mailing Address - Phone:303-694-6378
Mailing Address - Fax:303-694-6379
Practice Address - Street 1:5161 E. ARAPAHOE
Practice Address - Street 2:#250
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122
Practice Address - Country:US
Practice Address - Phone:303-694-6378
Practice Address - Fax:303-694-6379
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8278225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO00389358Medicaid
CO802043Medicare ID - Type Unspecified
CO00389358Medicaid