Provider Demographics
NPI:1629267331
Name:CRUMP, DELILAH JANE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:DELILAH
Middle Name:JANE
Last Name:CRUMP
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 1:4704 HARLAN ST
Mailing Address - Street 2:SUITE 505
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-7415
Mailing Address - Country:US
Mailing Address - Phone:303-424-7243
Mailing Address - Fax:303-421-0705
Practice Address - Street 1:4704 HARLAN ST STE 510
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80212-7464
Practice Address - Country:US
Practice Address - Phone:303-463-0722
Practice Address - Fax:303-421-0705
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9777225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO68268505Medicaid