Provider Demographics
NPI:1649236779
Name:TURVEY, TRUDY ALENE (MSPT)
Entity Type:Individual
Prefix:
First Name:TRUDY
Middle Name:ALENE
Last Name:TURVEY
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3434 47TH ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-1880
Mailing Address - Country:US
Mailing Address - Phone:303-443-1937
Mailing Address - Fax:303-443-3576
Practice Address - Street 1:3434 47TH ST
Practice Address - Street 2:SUITE 105
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-1880
Practice Address - Country:US
Practice Address - Phone:303-443-1937
Practice Address - Fax:303-443-3576
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1881225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO800043Medicare PIN