Provider Demographics
NPI:1629715750
Name:JUNEAU, EMILY HERBSTER (DPT)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:HERBSTER
Last Name:JUNEAU
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:RACHEL
Other - Last Name:HERBSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:3801 E FLORIDA AVE STE 330
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-2546
Mailing Address - Country:US
Mailing Address - Phone:303-370-2670
Mailing Address - Fax:303-370-2696
Practice Address - Street 1:3801 E FLORIDA AVE STE 330
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-2546
Practice Address - Country:US
Practice Address - Phone:303-370-2670
Practice Address - Fax:303-370-2696
Is Sole Proprietor?:No
Enumeration Date:2022-05-19
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO18349225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist