Provider Demographics
NPI:1659573764
Name:HARTMAN, DAN (PT, DPT, OCS)
Entity Type:Individual
Prefix:DR
First Name:DAN
Middle Name:
Last Name:HARTMAN
Suffix:
Gender:M
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8007 S SAULSBURY ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-5620
Mailing Address - Country:US
Mailing Address - Phone:720-532-2192
Mailing Address - Fax:
Practice Address - Street 1:7596 W JEWELL AVE STE 302
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-6839
Practice Address - Country:US
Practice Address - Phone:720-287-1626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL 0009356225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist