Provider Demographics
NPI:1639520521
Name:KRASOVEC, DONNA (PTA)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:
Last Name:KRASOVEC
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E HAMPDEN AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2638
Mailing Address - Country:US
Mailing Address - Phone:303-781-2181
Mailing Address - Fax:866-385-2921
Practice Address - Street 1:300 E HAMPDEN AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2638
Practice Address - Country:US
Practice Address - Phone:303-781-2181
Practice Address - Fax:866-385-2921
Is Sole Proprietor?:No
Enumeration Date:2016-06-22
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTA.0012165225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant