Provider Demographics
NPI:1649559444
Name:SCHMONSEES, LAURA KATHRYN (PT)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:KATHRYN
Last Name:SCHMONSEES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:DEIGHTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4440 ARAPAHOE AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-9101
Mailing Address - Country:US
Mailing Address - Phone:303-444-2529
Mailing Address - Fax:303-444-2563
Practice Address - Street 1:713 PEARL ST.
Practice Address - Street 2:BODY WISE PHYSICAL THERAPY
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302
Practice Address - Country:US
Practice Address - Phone:303-444-2526
Practice Address - Fax:307-733-5505
Is Sole Proprietor?:No
Enumeration Date:2011-08-10
Last Update Date:2017-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY1373225100000X
COPTL.0011862225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist